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Drug interactions

Bromocriptine + Lorlatinib

Severity: Moderate

Bromocriptine and Lorlatinib: 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

Lorlatinib is a moderate CYP3A inducer and may reduce bromocriptine concentrations. A weaker therapeutic effect could result.

What this interaction means in plain words

Bromocriptine and Lorlatinib 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.

Bromocriptine belongs to Central Nervous System; Lorlatinib belongs to Oncology.

Evidence level: Low

Why it happens

Lorlatinib induces CYP3A4, increasing bromocriptine metabolism.

What to do

Monitor prolactin levels or symptom control and raise the bromocriptine dose if the response declines.

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 Bromocriptine with Lorlatinib?

MediHelp rates the interaction as moderate. Bromocriptine and Lorlatinib 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. Lorlatinib is a moderate CYP3A inducer and may reduce bromocriptine concentrations. A weaker therapeutic effect could result.

How serious is the interaction between Bromocriptine and Lorlatinib?

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 prolactin levels or symptom control and raise the bromocriptine dose if the response declines.

What other medicines interact with Bromocriptine?

MediHelp also lists interactions of Bromocriptine with, for example, Amisulpride, Atazanavir, Cobicistat. The full list is on the Bromocriptine page.

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