Drug interactions
Apalutamide + Lumateperone
Severity: Major
Apalutamide and Lumateperone: major 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
Strong CYP3A4 induction by apalutamide markedly reduces lumateperone exposure. Antipsychotic or antidepressant efficacy may be lost.
What this interaction means in plain words
Apalutamide and Lumateperone can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.
Apalutamide belongs to Endocrine; Lumateperone belongs to Central Nervous System.
Why it happens
Apalutamide induces CYP3A4, a major pathway of lumateperone metabolism.
What to do
Avoid concomitant use as lumateperone labeling advises against strong CYP3A4 inducers. Choose an alternative agent if possible.
What to ask your pharmacist
- Does the benefit of taking both outweigh the risk in my case?
- Do I need any blood test, ECG or other check while on both?
- What early warning signs should I watch for, and what should I do if they appear?
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Other interactions of Apalutamide
- Apalutamide + Cabotegravir Contraindicated
- Apalutamide + Cobicistat Contraindicated
- Apalutamide + Doravirine Contraindicated
- Apalutamide + Elbasvir / grazoprevir Contraindicated
- Apalutamide + Ensitrelvir Contraindicated
- Apalutamide + Fostemsavir Contraindicated
Other interactions of Lumateperone
Frequently asked questions
Can I take Apalutamide with Lumateperone?
MediHelp rates the interaction as major. Apalutamide and Lumateperone can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Strong CYP3A4 induction by apalutamide markedly reduces lumateperone exposure. Antipsychotic or antidepressant efficacy may be lost.
How serious is the interaction between Apalutamide and Lumateperone?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid concomitant use as lumateperone labeling advises against strong CYP3A4 inducers. Choose an alternative agent if possible.
What other medicines interact with Apalutamide?
MediHelp also lists interactions of Apalutamide with, for example, Cabotegravir, Cobicistat, Doravirine. The full list is on the Apalutamide page.
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