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Drug interactions

Aripiprazole + Lapatinib

Severity: Moderate

Aripiprazole and Lapatinib: moderate 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

Lapatinib inhibits CYP3A4 and can raise aripiprazole exposure, and both drugs have some QT-prolonging potential. This may increase aripiprazole adverse effects such as akathisia, sedation and cardiac effects.

What this interaction means in plain words

Aripiprazole and Lapatinib can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Aripiprazole belongs to Central Nervous System; Lapatinib belongs to Oncology.

Evidence level: Moderate

Why it happens

CYP3A4 inhibition by lapatinib reduces aripiprazole clearance, with possible additive QT effects.

What to do

Monitor for aripiprazole adverse effects and consider a dose reduction. Obtain an ECG and check electrolytes in patients with QT risk factors.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

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 Aripiprazole with Lapatinib?

MediHelp rates the interaction as moderate. Aripiprazole and Lapatinib can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Lapatinib inhibits CYP3A4 and can raise aripiprazole exposure, and both drugs have some QT-prolonging potential. This may increase aripiprazole adverse effects such as akathisia, sedation and cardiac effects.

How serious is the interaction between Aripiprazole and Lapatinib?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for aripiprazole adverse effects and consider a dose reduction. Obtain an ECG and check electrolytes in patients with QT risk factors.

What other medicines interact with Aripiprazole?

MediHelp also lists interactions of Aripiprazole with, for example, Pimozide, Thioridazine, Amisulpride. The full list is on the Aripiprazole page.

Full monographs, dosing and an interaction checker in the MediHelp app

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