Drug interactions
Brigatinib + Efavirenz
Severity: Major
Brigatinib and Efavirenz: 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
Efavirenz can lower brigatinib exposure through CYP3A induction, potentially reducing its anti-tumor effect in ALK-positive lung cancer.
What this interaction means in plain words
Brigatinib and Efavirenz 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.
Brigatinib belongs to Oncology; Efavirenz belongs to Anti Virals.
Why it happens
Efavirenz induces CYP3A4, accelerating brigatinib metabolism.
What to do
Avoid the combination and use a non-inducing antiretroviral. If a strong or moderate inducer is unavoidable, the brigatinib dose may need to be increased per labeling with close monitoring of response and tolerability.
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 Efavirenz
- Cobimetinib + Efavirenz Contraindicated
- Dienogest / estradiol valerate + Efavirenz Contraindicated
- Dihydroergotamine intranasal + Efavirenz Contraindicated
- Dihydroergotamine + Efavirenz Contraindicated
- Doravirine + Efavirenz Contraindicated
- Efavirenz + Elbasvir / grazoprevir Contraindicated
Other interactions of Brigatinib
Frequently asked questions
Can I take Brigatinib with Efavirenz?
MediHelp rates the interaction as major. Brigatinib and Efavirenz 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. Efavirenz can lower brigatinib exposure through CYP3A induction, potentially reducing its anti-tumor effect in ALK-positive lung cancer.
How serious is the interaction between Brigatinib and Efavirenz?
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 the combination and use a non-inducing antiretroviral. If a strong or moderate inducer is unavoidable, the brigatinib dose may need to be increased per labeling with close monitoring of response and tolerability.
What other medicines interact with Efavirenz?
MediHelp also lists interactions of Efavirenz with, for example, Cobimetinib, Dienogest / estradiol valerate, Dihydroergotamine intranasal. The full list is on the Efavirenz page.
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