Drug Interaction Report

Vardenafil and Abiraterone: Interaction Details

AI-assisted, pharmacist-reviewed · Source data updated Aug 8, 2026 · Sources: FDA labeling, DDInter 2.0, cited literature

Vardenafil

Levitra Levitra® Staxyn Staxyn®
+

Abiraterone

Abirtega Yonsa Zytiga Zytiga®
Dr. Brian Staiger, PharmD, BCPS
Medically reviewed by
Updated Aug 8, 2026
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Interaction severity
Moderate
Can be significant — usually manageable with monitoring.
How we grade severity & evidence

Severity levels

  • Contraindicated: These should generally not be used together.
  • Major: Potentially serious — often needs a change or close monitoring.
  • Moderate: Can be significant — usually manageable with monitoring.
  • Minor: Usually limited clinical impact.

Evidence grades

  • Established: Well documented — supported by controlled studies or strong clinical data.
  • Probable: Good supporting evidence, though not definitively proven.
  • Suspected: Some evidence suggests this interaction, but it is not well established.
  • Possible: Limited or conflicting evidence; the interaction may occur.
  • Theoretical: Predicted from the drugs' pharmacology; not yet confirmed in people.

Ratings come from the documented interaction literature and are reviewed by a pharmacist. They describe the documented risk of the combination, not what will necessarily happen to you — your dose, timing, and health picture all matter.

Of 78 documented Vardenafil interactions, 5 are rated moderate — including this one.
Onset
unspecified
Evidence
theoretical
Severity
Moderate

What happens

Increased vardenafil exposure

Interaction Deep Dive

Concomitant use of vardenafil, a CYP3A4 substrate, with a moderate CYP3A4 inhibitor such as abiraterone, may cause increased vardenafil concentrations12. Use of the orally disintegrating tablet formulation of vardenafil is not recommended with moderate CYP3A4 inhibitors, such as abiraterone 2. If concomitant use of abiraterone and film-coated vardenafil tablets is indicated, use caution and do not exceed vardenafil 5 mg every 24 hours 1. Consider increased monitoring for vardenafil adverse events.

Why it happens (mechanism)

Inhibition of CYP3A4-mediated vardenafil metabolism by abiraterone

Common questions

Can I take Vardenafil and Abiraterone together?

Increased vardenafil exposure Always confirm with your pharmacist or prescriber before making any change.

How serious is the Vardenafil and Abiraterone interaction?

It is rated moderate. Can be significant — usually manageable with monitoring.

How quickly could this interaction happen?

The documented onset is "unspecified". The timing of this interaction is not well characterized.

How strong is the evidence for this interaction?

The evidence is graded "theoretical". Predicted from the drugs' pharmacology; not yet confirmed in people.

From our Q&A

Real reader questions about these medications, each personally answered by our pharmacist:

Questions for your pharmacist

  • Does my dose of Vardenafil or Abiraterone need adjusting while I take them together?
  • What symptoms should prompt me to call you or my prescriber right away?
  • Does the timing of my doses matter for this combination?
  • Is there anything you'd monitor while I'm on both?

References (2)

  1. Product Information: LEVITRA(R) oral tablets, vardenafil HCl oral tablets. GlaxoSmithKline (per FDA), Research Triangle Park, NC, 2013. DailyMed
  2. Product Information: STAXYN(R) oral disintegrating tablets, vardenafil HCl oral disintegrating tablets. GlaxoSmithKline (per FDA), Research Triangle Park, NC, 2013. DailyMed
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Beyond drug–drug

These medications also interact with supplements

Prescription drugs aren't the whole picture — herbal and dietary supplements can interact with them too. From the evidence-graded Natural Medicines database:

major · moderate · minor — check everything you take with our drug–supplement interaction checker.

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This information is for education, not a substitute for professional medical advice. Do not start, stop, or change any medication without talking to your pharmacist or prescriber.