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Lefamulin of Important Antibacterial Drug Interactions

  • QTc-prolonging drugs (e.g., azoles, sotalol, amiodarone, dofetilide, fluoxetine)
    • Increased risk of cardiotoxicity and arrhythmias. Monitor QTc.
  • Strong CYP3A4 inducers (e.g., rifampin)
    • Reduced lefamulin efficacy
  • Strong CYP3A4 strong inhibitors (e.g., ritonavir)
    • Increased lefamulin exposure