Increase in exposure to simvastatin. Increase in amlodipine systemic exposure w/ diltiazem. May increase exposure of mTOR inhibitors (eg, sirolimus, temsirolimus, everolimus). Increased bioavailability w/ grapefruit or grapefruit juice. May increase plasma conc w/ strong CYP3A4 inhibitors (eg, ketoconazole, itraconazole, ritonavir). Increased risk of hypotension w/ clarithromycin. May decrease plasma conc w/ CYP3A4 inducers (eg, rifampicin,
Hypericum perforatum). May affect the trough conc of cyclosporin in renal transplant patients. Increased risk of tacrolimus blood levels.