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Drug interactions

Bicalutamide + Crizotinib

Severity: Minor

Bicalutamide and Crizotinib: 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

Bicalutamide is a weak CYP3A4 inhibitor and could marginally raise crizotinib levels. Crizotinib has dose-related hepatotoxicity, bradycardia and QT effects, but a clinically relevant change is unlikely.

What this interaction means in plain words

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

Bicalutamide belongs to Endocrine; Crizotinib belongs to Oncology.

Evidence level: Low

Why it happens

Weak CYP3A4 inhibition by bicalutamide reduces crizotinib metabolism.

What to do

Monitor liver enzymes and heart rate/ECG per routine crizotinib monitoring; no dose change is generally needed.

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 Bicalutamide with Crizotinib?

MediHelp rates the interaction as minor. Bicalutamide and Crizotinib have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Bicalutamide is a weak CYP3A4 inhibitor and could marginally raise crizotinib levels. Crizotinib has dose-related hepatotoxicity, bradycardia and QT effects, but a clinically relevant change is unlikely.

How serious is the interaction between Bicalutamide and Crizotinib?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor liver enzymes and heart rate/ECG per routine crizotinib monitoring; no dose change is generally needed.

What other medicines interact with Bicalutamide?

MediHelp also lists interactions of Bicalutamide with, for example, Lomitapide, Aminolevulinic acid, Eliglustat. The full list is on the Bicalutamide page.

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