{"id":7780,"date":"2025-07-07T16:27:31","date_gmt":"2025-07-07T16:27:31","guid":{"rendered":"https:\/\/healthmedicinet.com\/review\/hmn-nurtec-interactions-to-avoid-in-2025\/"},"modified":"2025-07-07T16:27:31","modified_gmt":"2025-07-07T16:27:31","slug":"hmn-nurtec-interactions-to-avoid-in-2025","status":"publish","type":"post","link":"https:\/\/healthmedicinet.com\/review\/hmn-nurtec-interactions-to-avoid-in-2025\/","title":{"rendered":"HMN: Nurtec interactions to avoid in 2025"},"content":{"rendered":"<p>\n<br \/>Do you know:  Nurtec interactions to avoid in 2025<\/p>\n<div id=\"main-content\">\n<div id=\"post-intro\">\n<div id=\"takeaways\">\n<h2>Key takeaways<\/h2>\n<ul>\n<li>\n<p><span style=\"font-weight: 400;\">Medications that impact the pathways that play a role in the metabolism of Nurtec can be dangerous, resulting in increased or decreased exposure to the active ingredient. <\/span><\/p>\n<\/li>\n<li>\n<p><span style=\"font-weight: 400;\">Adverse effects that can result from Nurtec interactions involve the change in exposure to the active ingredient; interactions that increase metabolism can result in individuals not experiencing the therapeutic benefit of the medication, whereas those that decrease metabolism can result in increased exposure and possible <\/span><span style=\"font-weight: 400;\">side effects<\/span><span style=\"font-weight: 400;\">. <\/span><\/p>\n<\/li>\n<li>\n<p><span style=\"font-weight: 400;\">While a major substrate of <\/span><span style=\"font-weight: 400;\">CYP3A4<\/span><span style=\"font-weight: 400;\"> and P-glycoprotein, Nurtec is a minor substrate of CYP2C9, which may result in less severe impacts on its metabolism when given with other medications that impact that metabolic pathway. <\/span><\/p>\n<\/li>\n<li>\n<p><span style=\"font-weight: 400;\">In the event of a Nurtec interaction, if it is identified that the interaction is resulting in increased exposure to the medication, individuals should monitor for new onset of <\/span><span style=\"font-weight: 400;\">side effects<\/span><span style=\"font-weight: 400;\"> and hold off on re-dosing Nurtec for a minimum of 48 hours. In the setting of concomitant administration, which results in decreased exposure and potentially a reduction in therapeutic efficacy, individuals should not exceed the recommended dose without the advice of a <\/span><span style=\"font-weight: 400;\">healthcare professional<\/span><span style=\"font-weight: 400;\">.<\/span><\/p>\n<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<section class=\"table-of-contents\">\n<div class=\"anchorLinks\">\n<div class=\"mobile-only\">\n<div class=\"dropdownLists\">\n<div tabindex=\"0\" class=\"dropdownBtn\"><span class=\"listsIcon\"><br \/>\n\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.singlecare.com\/blog\/wp-content\/themes\/singlecare\/images\/union.svg\" width=\"14\" height=\"20\"\/><\/span><br \/>\n\t\t\t\t\t\t\t<label><\/label><br \/>\n\t\t\t\t\t\t\t<span class=\"downArrow\"><br \/>\n\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.singlecare.com\/blog\/wp-content\/themes\/singlecare\/images\/dropDownArrow.svg\" width=\"24\" height=\"24\"\/><br \/>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/section>\n<p><span style=\"font-weight: 400;\">Nurtec<\/span><span style=\"font-weight: 400;\"> (<\/span><span style=\"font-weight: 400;\">rimegepant<\/span><span style=\"font-weight: 400;\">) is an <\/span><span style=\"font-weight: 400;\">orally disintegrating tablet<\/span> <span style=\"font-weight: 400;\">prescription drug<\/span><span style=\"font-weight: 400;\"> and a member of the <\/span><span style=\"font-weight: 400;\">calcitonin gene-related peptide<\/span><span style=\"font-weight: 400;\"> (<\/span><span style=\"font-weight: 400;\">CGRP<\/span><span style=\"font-weight: 400;\">) <\/span><span style=\"font-weight: 400;\">receptor antagonists<\/span><span style=\"font-weight: 400;\">, sometimes called gepants. It is manufactured by <\/span><span style=\"font-weight: 400;\">Pfizer<\/span><span style=\"font-weight: 400;\"> and is approved by the <\/span><span style=\"font-weight: 400;\">Food and Drug Administration<\/span><span style=\"font-weight: 400;\"> (<\/span><span style=\"font-weight: 400;\">FDA<\/span><span style=\"font-weight: 400;\">) for both the <\/span><span style=\"font-weight: 400;\">prevention and <\/span><span style=\"font-weight: 400;\">acute treatment of migraines<\/span><span style=\"font-weight: 400;\"> with or without aura. Nurtec and other gepants are substrates of CYP <\/span><span style=\"font-weight: 400;\">enzymes<\/span><span style=\"font-weight: 400;\"> and drug transporters, which translates to a high potential for <\/span><span style=\"font-weight: 400;\">drug interactions<\/span><span style=\"font-weight: 400;\">. Nurtec specifically is a major substrate of the isoenzyme <\/span><span style=\"font-weight: 400;\">CYP3A4<\/span><span style=\"font-weight: 400;\"> and drug transporter P-glycoprotein, so use with other medications and certain foods that inhibit or induce this specific <\/span><span style=\"font-weight: 400;\">enzyme<\/span><span style=\"font-weight: 400;\"> or drug transporter can particularly impact the metabolism of Nurtec. Such medications include those for migraines, antimicrobials, and <\/span><span style=\"font-weight: 400;\">over-the-counter<\/span><span style=\"font-weight: 400;\"> products like <\/span><span style=\"font-weight: 400;\">St. John\u2019s wort<\/span><span style=\"font-weight: 400;\"> and <\/span><span style=\"font-weight: 400;\">grapefruit juice<\/span><span style=\"font-weight: 400;\">. It\u2019s important to be aware of Nurtec interactions, as concomitant use with certain drugs and foods can affect Nurtec\u2019s effectiveness or cause adverse effects.\u00a0<\/span><\/p>\n<h2 id=\"nurtec-drug-interactions\"><span style=\"font-weight: 400;\">Nurtec <\/span><span style=\"font-weight: 400;\">drug interactions<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The most concerning <\/span><span style=\"font-weight: 400;\">drug interactions<\/span><span style=\"font-weight: 400;\"> that can occur with Nurtec are when it is taken with strong <\/span><span style=\"font-weight: 400;\">CYP3A4<\/span><span style=\"font-weight: 400;\"> or P-glycoprotein <\/span><span style=\"font-weight: 400;\">inhibitors<\/span><span style=\"font-weight: 400;\"> or <\/span><span style=\"font-weight: 400;\">inducers<\/span><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<h3 id=\"cyp3a4-inhibitors\"><span style=\"font-weight: 400;\">CYP3A4<\/span> <span style=\"font-weight: 400;\">inhibitors<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Strong <\/span><span style=\"font-weight: 400;\">CYP3A4<\/span> <span style=\"font-weight: 400;\">inhibitors<\/span><span style=\"font-weight: 400;\"> encompass a broad grouping of medications. <\/span><span style=\"font-weight: 400;\">CYP3A4<\/span> <span style=\"font-weight: 400;\">inhibitors<\/span><span style=\"font-weight: 400;\"> interact with Nurtec by preventing the metabolism of the active ingredient, <\/span><span style=\"font-weight: 400;\">rimegepant<\/span><span style=\"font-weight: 400;\">. The <\/span><span style=\"font-weight: 400;\">prescribing information<\/span><span style=\"font-weight: 400;\"> for <\/span><span style=\"font-weight: 400;\">Nurtec ODT<\/span><span style=\"font-weight: 400;\"> recommends avoiding co-administration of these medications as it is expected the <\/span><span style=\"font-weight: 400;\">CYP3A4<\/span> <span style=\"font-weight: 400;\">inhibitors<\/span><span style=\"font-weight: 400;\"> will decrease the metabolic elimination of <\/span><span style=\"font-weight: 400;\">rimegepant<\/span><span style=\"font-weight: 400;\"> and increase the risk of toxicity.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">One <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/39364583\/\"><span style=\"font-weight: 400;\">study of 22 healthy volunteers <\/span><\/a><span style=\"font-weight: 400;\">demonstrated that coadministration of <\/span><span style=\"font-weight: 400;\">rimegepant<\/span><span style=\"font-weight: 400;\"> as a single 75 mg dose with <\/span><span style=\"font-weight: 400;\">itraconazole<\/span><span style=\"font-weight: 400;\"> 200 mg daily, a well-known strong <\/span><span style=\"font-weight: 400;\">CYP3A4<\/span> <span style=\"font-weight: 400;\">inhibitor<\/span><span style=\"font-weight: 400;\">, increased the serum concentrations of <\/span><span style=\"font-weight: 400;\">rimegepant<\/span><span style=\"font-weight: 400;\"> significantly. Therefore, coadministration of <\/span><span style=\"font-weight: 400;\">Nurtec ODT<\/span><span style=\"font-weight: 400;\"> with strong <\/span><span style=\"font-weight: 400;\">CYP3A4<\/span> <span style=\"font-weight: 400;\">inhibitors<\/span><span style=\"font-weight: 400;\"> is considered contraindicated.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Concomitant consumption could result in an increased risk of <\/span><span style=\"font-weight: 400;\">adverse effects<\/span><span style=\"font-weight: 400;\"> of the medication, including severe headache, confusion, slurred speech, loss of coordination, stiff muscles, and high fever. If an individual takes Nurtec and a strong <\/span><span style=\"font-weight: 400;\">CYP3A4<\/span> <span style=\"font-weight: 400;\">inhibitor<\/span><span style=\"font-weight: 400;\"> concomitantly and begins to experience any unexpected or unusual <\/span><span style=\"font-weight: 400;\">side effects<\/span><span style=\"font-weight: 400;\">, it is recommended to call a poison control center or get immediate medical attention.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The maximum daily <\/span><span style=\"font-weight: 400;\">dose of Nurtec ODT<\/span><span style=\"font-weight: 400;\"> is 75mg, the only dosage form available, so this interaction cannot be counteracted by trialing alternative doses. <\/span><span style=\"font-weight: 400;\">Zavzpret<\/span><span style=\"font-weight: 400;\"> (zavegepant) is another member of the gepant medication class that still relies on the <\/span><span style=\"font-weight: 400;\">CYP3A4<\/span><span style=\"font-weight: 400;\"> metabolic pathway but to a lesser degree than <\/span><span style=\"font-weight: 400;\">Nurtec ODT<\/span><span style=\"font-weight: 400;\">; therefore, individuals on a strong <\/span><span style=\"font-weight: 400;\">CYP3A4<\/span> <span style=\"font-weight: 400;\">inhibitor<\/span><span style=\"font-weight: 400;\"> needing a member of the <\/span><span style=\"font-weight: 400;\">CGRP<\/span> <span style=\"font-weight: 400;\">inhibitor<\/span><span style=\"font-weight: 400;\"> drug class<\/span><span style=\"font-weight: 400;\"> may be better off with this medication, at least while the <\/span><span style=\"font-weight: 400;\">CYP3A4<\/span> <span style=\"font-weight: 400;\">inhibitor<\/span><span style=\"font-weight: 400;\"> is warranted.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Examples of <\/span><span style=\"font-weight: 400;\">CYP3A4<\/span> <span style=\"font-weight: 400;\">inhibitors<\/span><span style=\"font-weight: 400;\"> include:<\/span><\/p>\n<h3 id=\"cyp3a4-inducers\"><span style=\"font-weight: 400;\">CYP3A4<\/span> <span style=\"font-weight: 400;\">inducers<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">The opposite to <\/span><span style=\"font-weight: 400;\">CYP3A4<\/span> <span style=\"font-weight: 400;\">inhibitors<\/span><span style=\"font-weight: 400;\">, <\/span><span style=\"font-weight: 400;\">CYP3A4<\/span> <span style=\"font-weight: 400;\">inducers<\/span><span style=\"font-weight: 400;\"> are also generally contraindicated to be coadministered with Nurtec as they may decrease the serum concentration of the active ingredient, <\/span><span style=\"font-weight: 400;\">rimegepant<\/span><span style=\"font-weight: 400;\">, resulting in a loss of clinical efficacy and possible <\/span><span style=\"font-weight: 400;\">migraine attacks<\/span><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Common <\/span><span style=\"font-weight: 400;\">CYP3A4<\/span> <span style=\"font-weight: 400;\">inhibitors<\/span><span style=\"font-weight: 400;\"> include certain anticonvulsants and antimicrobials. While not studied directly in <\/span><span style=\"font-weight: 400;\">clinical trials<\/span><span style=\"font-weight: 400;\">, the <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/39364583\/\"><span style=\"font-weight: 400;\">pharmacokinetic study of 21 healthy volunteers<\/span><\/a><span style=\"font-weight: 400;\"> showed that a single 75mg dose of <\/span><span style=\"font-weight: 400;\">rimegepant<\/span><span style=\"font-weight: 400;\"> with <\/span><span style=\"font-weight: 400;\">rifampin<\/span><span style=\"font-weight: 400;\">, a strong <\/span><span style=\"font-weight: 400;\">CYP3A4<\/span> <span style=\"font-weight: 400;\">inducer<\/span><span style=\"font-weight: 400;\">, decreased the exposure of <\/span><span style=\"font-weight: 400;\">rimegepant<\/span><span style=\"font-weight: 400;\"> by up to 80%.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The <\/span><span style=\"font-weight: 400;\">prescribing information<\/span><span style=\"font-weight: 400;\"> for <\/span><span style=\"font-weight: 400;\">rimegepant<\/span><span style=\"font-weight: 400;\"> states that coadministration with moderate to strong <\/span><span style=\"font-weight: 400;\">CYP3A4<\/span> <span style=\"font-weight: 400;\">inhibitors<\/span><span style=\"font-weight: 400;\"> should be avoided. Patients on treatment with <\/span><span style=\"font-weight: 400;\">CYP3A4<\/span> <span style=\"font-weight: 400;\">inhibitors<\/span><span style=\"font-weight: 400;\"> may best be managed with medications outside of the <\/span><span style=\"font-weight: 400;\">CGRP<\/span> <span style=\"font-weight: 400;\">inhibitor<\/span><span style=\"font-weight: 400;\"> drug class<\/span><span style=\"font-weight: 400;\">, such as with <\/span><span style=\"font-weight: 400;\">NSAIDs<\/span><span style=\"font-weight: 400;\"> like <\/span><span style=\"font-weight: 400;\">ibuprofen<\/span><span style=\"font-weight: 400;\">, <\/span><span style=\"font-weight: 400;\">acetaminophen<\/span><span style=\"font-weight: 400;\"> or some <\/span><span style=\"font-weight: 400;\">Triptans<\/span><span style=\"font-weight: 400;\">, like <\/span><span style=\"font-weight: 400;\">sumatriptan<\/span><span style=\"font-weight: 400;\">; if necessary to receive a medication in the same drug class, an individual may be better managed with <\/span><span style=\"font-weight: 400;\">Zavzpret (zavegepant)<\/span><span style=\"font-weight: 400;\"> given a decreased dependence on the <\/span><span style=\"font-weight: 400;\">CYP3A4<\/span><span style=\"font-weight: 400;\"> metabolic pathway.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Examples of <\/span><span style=\"font-weight: 400;\">CYP3A4<\/span> <span style=\"font-weight: 400;\">inducers<\/span><span style=\"font-weight: 400;\"> include:<\/span><\/p>\n<h3 id=\"p-glycoprotein-p-gp-inhibitors\"><span style=\"font-weight: 400;\">P-glycoprotein (P-gp) <\/span><span style=\"font-weight: 400;\">inhibitors<\/span><\/h3>\n<p><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/12489979\/\"><span style=\"font-weight: 400;\">P-glycoprotein (P-gp)<\/span><\/a><span style=\"font-weight: 400;\"> is a protein embedded in cell membranes that transports substances, including drugs and toxins, out of cells. It is critical in protecting cells from harmful substances and is found in many tissues throughout the body. <\/span><span style=\"font-weight: 400;\">P-gp inhibitors<\/span><span style=\"font-weight: 400;\"> can result in <\/span><span style=\"font-weight: 400;\">drug interactions<\/span><span style=\"font-weight: 400;\"> when coadministered with other medications that depend on P-gp as part of their drug absorption and disposition, such as <\/span><span style=\"font-weight: 400;\">rimegepant<\/span><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Lasmiditan is a strong P-gp inhibitor that should not be taken concurrently with Nurtec as this will result in increased <\/span><span style=\"font-weight: 400;\">rimegepant<\/span><span style=\"font-weight: 400;\"> blood levels and <\/span><span style=\"font-weight: 400;\">side effects of Nurtec ODT<\/span><span style=\"font-weight: 400;\">. A <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/35304977\/\"><span style=\"font-weight: 400;\">pharmacokinetic study<\/span><\/a><span style=\"font-weight: 400;\"> described an increased exposure of <\/span><span style=\"font-weight: 400;\">rimegepant<\/span><span style=\"font-weight: 400;\"> when administered with <\/span><span style=\"font-weight: 400;\">P-gp inhibitor<\/span> <span style=\"font-weight: 400;\">cyclosporine<\/span><span style=\"font-weight: 400;\"> or <\/span><span style=\"font-weight: 400;\">quinidine<\/span><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/www.accessdata.fda.gov\/drugsatfda_docs\/label\/2025\/212728s026lbl.pdf\"><span style=\"font-weight: 400;\">Prescribing information<\/span><\/a><span style=\"font-weight: 400;\"> for <\/span><span style=\"font-weight: 400;\">rimegepant<\/span><span style=\"font-weight: 400;\"> states to avoid taking a repeat <\/span><span style=\"font-weight: 400;\">dose of Nurtec ODT<\/span><span style=\"font-weight: 400;\"> within 48 hours if given concomitantly with <\/span><span style=\"font-weight: 400;\">P-gp inhibitors<\/span><span style=\"font-weight: 400;\">. As all members of the gepant drug class are at least minor substrates of P-gp, the best management approach in those on medications considered P-go <\/span><span style=\"font-weight: 400;\">inhibitors<\/span><span style=\"font-weight: 400;\"> requiring migraine therapy is to select a medication from an entirely different drug class.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Examples of <\/span><span style=\"font-weight: 400;\">P-gp inhibitors<\/span><span style=\"font-weight: 400;\">:<\/span><\/p>\n<h3 id=\"p-glycoprotein-inducers\"><span style=\"font-weight: 400;\">P-glycoprotein <\/span><span style=\"font-weight: 400;\">inducers<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Many P-gp <\/span><span style=\"font-weight: 400;\">inducers<\/span><span style=\"font-weight: 400;\"> are also <\/span><span style=\"font-weight: 400;\">CYP3A4<\/span> <span style=\"font-weight: 400;\">inducers<\/span><span style=\"font-weight: 400;\"> and can similarly interact with <\/span><span style=\"font-weight: 400;\">Nurtec ODT<\/span><span style=\"font-weight: 400;\"> by decreasing serum concentrations of the active ingredient, <\/span><span style=\"font-weight: 400;\">rimegepant<\/span><span style=\"font-weight: 400;\">. This may negate taking <\/span><span style=\"font-weight: 400;\">Nurtec ODT<\/span><span style=\"font-weight: 400;\"> as a preventative medication and result in <\/span><span style=\"font-weight: 400;\">episodic migraines<\/span><span style=\"font-weight: 400;\">. Exceeding the daily dose to overcome this interaction is not recommended.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Examples of P-gp <\/span><span style=\"font-weight: 400;\">inducers<\/span><span style=\"font-weight: 400;\">:<\/span><\/p>\n<h2 id=\"nurtec-food-interactions\"><span style=\"font-weight: 400;\">Nurtec food interactions<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Nurtec ODT<\/span><span style=\"font-weight: 400;\"> administration under fed conditions delayed achieving a maximal serum concentration by 1 to 1.5 hours. A high-fat meal reduced the maximal concentration by 53%, while a low-fat meal only reduced it by 36%. In <\/span><span style=\"font-weight: 400;\">clinical trials<\/span><span style=\"font-weight: 400;\">, <\/span><span style=\"font-weight: 400;\">Nurtec ODT<\/span><span style=\"font-weight: 400;\"> was administered without regard to food, so the clinical impact of the reduction in <\/span><span style=\"font-weight: 400;\">rimegepant<\/span><span style=\"font-weight: 400;\"> concentrations and exposure due to administration with food is unknown.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Some supplements may play a beneficial role in migraine prophylaxis. <\/span><a href=\"https:\/\/americanmigrainefoundation.org\/resource-library\/magnesium\/\"><span style=\"font-weight: 400;\">Magnesium <\/span><span style=\"font-weight: 400;\">supplements<\/span><\/a><span style=\"font-weight: 400;\"> have some evidence supporting the prevention of migraines by increasing mitochondrial function. Vitamin B2 (riboflavin) may also possibly be effective in migraine prevention based on several <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/23030537\/\"><span style=\"font-weight: 400;\">small <\/span><span style=\"font-weight: 400;\">clinical trials<\/span><\/a><span style=\"font-weight: 400;\"> that have demonstrated that riboflavin reduces migraine frequency. Like magnesium, the mechanism of riboflavin\u2019s benefit is assumed to be related to improved mitochondrial function. <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/15728298\/\"><span style=\"font-weight: 400;\">Coenzyme Q10<\/span><\/a><span style=\"font-weight: 400;\"> is another <\/span><span style=\"font-weight: 400;\">supplement<\/span><span style=\"font-weight: 400;\"> deemed possibly effective in preventing migraines, again due to improved mitochondrial function.\u00a0<\/span><\/p>\n<h3 id=\"nurtec-and-grapefruit\"><span style=\"font-weight: 400;\">Nurtec and grapefruit\u00a0<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Grapefruit juice<\/span><span style=\"font-weight: 400;\"> is a known <\/span><span style=\"font-weight: 400;\">CYP3A4<\/span> <span style=\"font-weight: 400;\">inhibitor<\/span><span style=\"font-weight: 400;\">, so the guidance to avoid coadministration of Nurtec and <\/span><span style=\"font-weight: 400;\">CYP3A4<\/span> <span style=\"font-weight: 400;\">inhibitors<\/span><span style=\"font-weight: 400;\"> should also apply to grapefruit juice consumption. As <\/span><span style=\"font-weight: 400;\">prescribing information<\/span><span style=\"font-weight: 400;\"> for <\/span><span style=\"font-weight: 400;\">rimegepant<\/span><span style=\"font-weight: 400;\"> recommends avoiding a second dose within 48 hours when used concomitantly with moderate to strong <\/span><span style=\"font-weight: 400;\">CYP3A4<\/span> <span style=\"font-weight: 400;\">inhibitors<\/span><span style=\"font-weight: 400;\"> when managing an acute migraine, the same should hold true if the individual has consumed <\/span><span style=\"font-weight: 400;\">grapefruit juice<\/span><span style=\"font-weight: 400;\">. If <\/span><span style=\"font-weight: 400;\">grapefruit juice<\/span><span style=\"font-weight: 400;\"> is regularly consumed, second doses of <\/span><span style=\"font-weight: 400;\">rimegepant<\/span><span style=\"font-weight: 400;\"> within 48 hours should be avoided.\u00a0<\/span><\/p>\n<h2 id=\"other-nurtec-interactions\"><span style=\"font-weight: 400;\">Other Nurtec interactions<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Healthcare providers should consider special considerations for those with certain <\/span><span style=\"font-weight: 400;\">medical conditions<\/span><span style=\"font-weight: 400;\">, as described below.\u00a0<\/span><\/p>\n<h3 id=\"nurtec-and-concomitant-medical-conditions\"><span style=\"font-weight: 400;\">Nurtec and concomitant <\/span><span style=\"font-weight: 400;\">medical conditions<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Nurtec <\/span><span style=\"font-weight: 400;\">labeling<\/span><span style=\"font-weight: 400;\"> outlines <\/span><span style=\"font-weight: 400;\">medical conditions<\/span><span style=\"font-weight: 400;\"> in which it should be taken cautiously. Nurtec hasn\u2019t been studied in patients with <\/span><span style=\"font-weight: 400;\">kidney problems<\/span><span style=\"font-weight: 400;\"> like end-stage <\/span><span style=\"font-weight: 400;\">renal<\/span><span style=\"font-weight: 400;\"> disease or in patients on dialysis. Therefore, the medication should be avoided in those with severe <\/span><span style=\"font-weight: 400;\">renal<\/span> <span style=\"font-weight: 400;\">impairment<\/span><span style=\"font-weight: 400;\">. In individuals with severe <\/span><span style=\"font-weight: 400;\">liver problems<\/span><span style=\"font-weight: 400;\">, such as Child-Pugh C, <\/span><span style=\"font-weight: 400;\">rimegepant<\/span><span style=\"font-weight: 400;\"> should be avoided as blood concentrations will be significantly higher than those without hepatic <\/span><span style=\"font-weight: 400;\">impairment<\/span><span style=\"font-weight: 400;\"> or a lesser degree of <\/span><span style=\"font-weight: 400;\">impairment<\/span><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A <\/span><a href=\"https:\/\/nurtecpregnancyregistry.com\/\"><span style=\"font-weight: 400;\">pregnancy registry<\/span><\/a><span style=\"font-weight: 400;\"> exists to monitor pregnancy outcomes in women exposed to Nurtec during pregnancy. There is not sufficient data on the developmental risk associated with the use of Nurtec in pregnant women to fully understand the impact on fetal development outside of limited animal data. <\/span><span style=\"font-weight: 400;\">Labeling<\/span><span style=\"font-weight: 400;\"> for Nurtec also summarizes the risk of continuing Nurtec in those <\/span><span style=\"font-weight: 400;\">breastfeeding<\/span><span style=\"font-weight: 400;\">, stating a relative infant dose of less than 1% of the maternal weight-adjusted dose in <\/span><span style=\"font-weight: 400;\">breast milk<\/span><span style=\"font-weight: 400;\">. Therefore, the development and health benefits of <\/span><span style=\"font-weight: 400;\">breastfeeding<\/span><span style=\"font-weight: 400;\"> should be weighed with the female\u2019s clinical indication for Nurtec.\u00a0<\/span><\/p>\n<h2 id=\"how-to-minimize-nurtec-interactions\"><span style=\"font-weight: 400;\">How to minimize Nurtec interactions<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Always carry a complete list of medications, including <\/span><span style=\"font-weight: 400;\">supplements<\/span><span style=\"font-weight: 400;\">, on your person. Any time you\u2019re inquiring about <\/span><span style=\"font-weight: 400;\">medical advice<\/span><span style=\"font-weight: 400;\">, provide this list so that a thorough review and drug information assessment can be performed to minimize the risk of <\/span><span style=\"font-weight: 400;\">drug interactions<\/span><span style=\"font-weight: 400;\">. Anytime you start a new medication, and new signs or symptoms arise, however mild they might be, it is best to review them with your <\/span><span style=\"font-weight: 400;\">healthcare professional<\/span><span style=\"font-weight: 400;\">. Also, be mindful of the possibility of <\/span><span style=\"font-weight: 400;\">allergic reactions<\/span><span style=\"font-weight: 400;\">, which may present as <\/span><span style=\"font-weight: 400;\">swelling of the face<\/span><span style=\"font-weight: 400;\"> and require immediate medical intervention.<\/span><\/p>\n<h2 id=\"when-to-talk-to-a-healthcare-provider-about-nurtec-interactions\"><span style=\"font-weight: 400;\">When to talk to a <\/span><span style=\"font-weight: 400;\">healthcare provider<\/span><span style=\"font-weight: 400;\"> about Nurtec interactions<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">This article does not provide a complete list of Nurtec interactions. Be mindful of the risk of Nurtec when used in combination with prescription and <\/span><span style=\"font-weight: 400;\">over-the-counter<\/span><span style=\"font-weight: 400;\"> medications. 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Adverse effects that can result from Nurtec interactions involve the change in exposure to the active ingredient; [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-7780","post","type-post","status-publish","format-standard","hentry","category-health-news"],"blocksy_meta":[],"_links":{"self":[{"href":"https:\/\/healthmedicinet.com\/review\/wp-json\/wp\/v2\/posts\/7780","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/healthmedicinet.com\/review\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/healthmedicinet.com\/review\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/healthmedicinet.com\/review\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/healthmedicinet.com\/review\/wp-json\/wp\/v2\/comments?post=7780"}],"version-history":[{"count":0,"href":"https:\/\/healthmedicinet.com\/review\/wp-json\/wp\/v2\/posts\/7780\/revisions"}],"wp:attachment":[{"href":"https:\/\/healthmedicinet.com\/review\/wp-json\/wp\/v2\/media?parent=7780"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/healthmedicinet.com\/review\/wp-json\/wp\/v2\/categories?post=7780"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/healthmedicinet.com\/review\/wp-json\/wp\/v2\/tags?post=7780"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}