Increased exposure to simvastatin. Increased amlodipine systemic exposure w/ diltiazem in elderly hypertensive patients. Bioavailability may be increased w/ grapefruit or grapefruit juice. Plasma conc may be increased w/ strong CYP3A4 inhibitors (eg, ketoconazole, itraconazole, ritonavir). Increased risk of hypotension w/ clarithromycin. Plasma conc may be decreased w/ CYP3A4 inducers (eg, rifampicin,
Hypericum perforatum). May affect trough conc of cyclosporin in renal transplant patients. Risk of increased tacrolimus blood levels. May increase exposure of mTOR inhibitors (eg, sirolimus, temsirolimus, everolimus).