Prednisone and Ritonavir: Drug Interaction Guide
Quick answer: This combination requires caution. Prednisone and Ritonavir can be used together with adjustments and monitoring.
How Prednisone interacts with Ritonavir
Ritonavir strongly inhibits CYP3A4, reducing metabolism of systemic corticosteroids such as prednisone and prednisolone. This can increase glucocorticoid exposure and adrenal suppression risk.
What you should do
Use the lowest effective corticosteroid dose and monitor for Cushingoid features and adrenal suppression. Consider alternatives and specialist advice for prolonged therapy.
Key facts
Severity
Moderate — caution required
Mechanism
Ritonavir strongly inhibits CYP3A4, reducing metabolism of systemic corticosteroids such as prednisone and prednisolone....
Action
Use the lowest effective corticosteroid dose and monitor for Cushingoid features and adrenal suppression. Consider alter...
Frequently asked questions
Can I take Prednisone and Ritonavir together?
With caution. Use the lowest effective corticosteroid dose and monitor for Cushingoid features and adrenal suppression. Consider alternatives and specialist advice for prolonged therapy.
What is the severity of this interaction?
The interaction between Prednisone and Ritonavir is classified as Moderate — caution required. Ritonavir strongly inhibits CYP3A4, reducing metabolism of systemic corticosteroids such as prednisone and prednisolone. This can increase glucocorticoid exposure and adrenal suppression risk.
What should I do if I'm prescribed both?
Use the lowest effective corticosteroid dose and monitor for Cushingoid features and adrenal suppression. Consider alternatives and specialist advice for prolonged therapy. Always consult your prescribing clinician — do not stop or change medications without medical guidance.
Last reviewed: by iMedic Medical Editorial Team. Our editorial process.