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Drug interactions

Amlodipine + Larotrectinib

Severity: Minor

Amlodipine and Larotrectinib: minor interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Larotrectinib is a CYP3A4 substrate and a weak CYP3A4 inhibitor in vitro, so it could raise amlodipine exposure slightly. A clinically relevant effect has not been well established.

What this interaction means in plain words

Amlodipine and Larotrectinib have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Amlodipine belongs to Cardiovascular; Larotrectinib belongs to Oncology.

Evidence level: Low

Why it happens

Possible weak CYP3A4 inhibition by larotrectinib reducing amlodipine metabolism.

What to do

No empiric dose change is required; monitor blood pressure and for edema or hypotension after starting larotrectinib.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Amlodipine with Larotrectinib?

MediHelp rates the interaction as minor. Amlodipine and Larotrectinib have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Larotrectinib is a CYP3A4 substrate and a weak CYP3A4 inhibitor in vitro, so it could raise amlodipine exposure slightly. A clinically relevant effect has not been well established.

How serious is the interaction between Amlodipine and Larotrectinib?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No empiric dose change is required; monitor blood pressure and for edema or hypotension after starting larotrectinib.

What other medicines interact with Amlodipine?

MediHelp also lists interactions of Amlodipine with, for example, Amifostine, Ombitasvir / paritaprevir / ritonavir and dasabuvir, Activated Charcoal. The full list is on the Amlodipine page.

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