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Drug interactions

Avapritinib + Lapatinib

Severity: Moderate

Avapritinib 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 is a weak-to-moderate CYP3A4 inhibitor and may increase avapritinib exposure. This may worsen avapritinib toxicities such as cognitive effects, bleeding and edema.

What this interaction means in plain words

Avapritinib 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.

Avapritinib belongs to Oncology; Lapatinib belongs to Oncology.

Evidence level: Low

Why it happens

Inhibition of CYP3A4 metabolism of avapritinib by lapatinib.

What to do

Avoid if possible. If unavoidable, reduce the avapritinib dose per labeling and monitor for neurocognitive effects and bleeding.

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 Avapritinib with Lapatinib?

MediHelp rates the interaction as moderate. Avapritinib 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 is a weak-to-moderate CYP3A4 inhibitor and may increase avapritinib exposure. This may worsen avapritinib toxicities such as cognitive effects, bleeding and edema.

How serious is the interaction between Avapritinib 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: Avoid if possible. If unavoidable, reduce the avapritinib dose per labeling and monitor for neurocognitive effects and bleeding.

What other medicines interact with Lapatinib?

MediHelp also lists interactions of Lapatinib with, for example, Dofetilide, Ibutilide, Pimozide. The full list is on the Lapatinib page.

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

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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