May have increased levels w/ CYP3A4 inhibitors eg, Ca channel blockers (eg, diltiazem, nicardipine, verapamil), antifungals (eg, clotrimazole, fluconazole, itraconazole, ketoconazole, voriconazole), antibiotics (eg, clarithromycin, erythromycin, telithromycin, troleandomycin), GI prokinetics (eg, cisapride, metoclopramide), bromocriptine, cimetidine, cyclosporine, danazol, letermovir, PIs (eg, ritonavir, indinavir, boceprevir, telaprevir), grapefruit juice. May have decreased levels w/ CYP3A4 inducers eg, anticonvulsants (eg, carbamazepine, phenobarb, phenytoin), antibiotics (eg, rifabutin, rifampicin, rifapentine), herbal prep (eg, St. John's wort). Increased C
max, t
max & AUC w/ diltiazem, verapamil, erythromycin & ketoconazole. Decreased AUC & C
max w/ rifampicin. Monitor for rhabdomyolysis development when used concomitantly w/ cyclosporine together w/ HMG-CoA reductase inhibitor &/or fibrate. Increased C
max & AUC w/ cyclosporine. Increased sirolimus blood levels when used concomitantly w/ cannabidiol. Possible HUS/TTP/TMA w/ calcineurin inhibitor. Immunosuppressants may affect response to vaccination. Bioavailability is affected by concomitant food intake after administration.