What is the drug interaction between VELASOF (Sofosbuvir) / SOVIHEP V (Velpatasvir) and ursodeoxycholic acid?

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From the Research

There is no significant drug interaction between VELASOF/SOVIHEP V (sofosbuvir/velpatasvir) and ursodeoxycholic acid (UDCA), and these medications can be safely taken together without dose adjustments. VELASOF/SOVIHEP V is a direct-acting antiviral combination used to treat hepatitis C virus infection, while ursodeoxycholic acid is commonly prescribed for various liver conditions including primary biliary cholangitis and gallstones. The medications work through different mechanisms - sofosbuvir/velpatasvir targets specific viral proteins to inhibit HCV replication, while ursodeoxycholic acid works as a choleretic agent that improves bile flow and reduces inflammation in the liver. Neither medication significantly affects the metabolism or clearance of the other, as supported by studies such as 1 and 2, which demonstrate the safety and efficacy of sofosbuvir/velpatasvir in treating HCV infection. Patients should still inform their healthcare provider about all medications they are taking, including UDCA, when starting VELASOF/SOVIHEP V therapy to ensure comprehensive medication management. Standard dosing regimens for both medications can be maintained when used concurrently, as shown in studies such as 3 and 4, which report high sustained virological response rates and minimal adverse events in patients treated with sofosbuvir/velpatasvir.

Some key points to consider when co-administering VELASOF/SOVIHEP V and ursodeoxycholic acid include:

  • Monitoring liver function and adjusting treatment as needed, as recommended in studies such as 5 and 4
  • Informing patients about potential side effects and interactions, as noted in studies such as 1 and 2
  • Maintaining standard dosing regimens for both medications, as supported by studies such as 3 and 4
  • Considering the potential benefits of combination therapy in patients with advanced liver disease, as reported in studies such as 3 and 5

Overall, the available evidence suggests that VELASOF/SOVIHEP V and ursodeoxycholic acid can be safely co-administered without significant interactions, and that this combination may be beneficial for patients with HCV infection and liver disease.

References

Research

Sofosbuvir-velpatasvir: A single-tablet treatment for hepatitis C infection of all genotypes.

American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists, 2017

Research

Sofosbuvir/velpatasvir in patients with hepatitis C virus genotypes 1-6 and compensated cirrhosis or advanced fibrosis.

Liver international : official journal of the International Association for the Study of the Liver, 2018

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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