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Drug interactions

Calcitriol + Larotrectinib

Severity: Minor

Calcitriol and Larotrectinib: 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

Larotrectinib is a CYP3A4 substrate and a weak inhibitor in vitro, and calcitriol is partly metabolized by CYP3A4, so a small rise in calcitriol exposure is conceivable. No clinically significant effect has been established.

What this interaction means in plain words

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

Calcitriol belongs to Musculoskeletal; Larotrectinib belongs to Oncology.

Evidence level: Low

Why it happens

Theoretical weak CYP3A4 inhibition by larotrectinib reducing calcitriol clearance.

What to do

No dose adjustment is needed; monitor serum calcium as part of routine calcitriol therapy.

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 Calcitriol with Larotrectinib?

MediHelp rates the interaction as minor. Calcitriol and Larotrectinib have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Larotrectinib is a CYP3A4 substrate and a weak inhibitor in vitro, and calcitriol is partly metabolized by CYP3A4, so a small rise in calcitriol exposure is conceivable. No clinically significant effect has been established.

How serious is the interaction between Calcitriol and Larotrectinib?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No dose adjustment is needed; monitor serum calcium as part of routine calcitriol therapy.

What other medicines interact with Calcitriol?

MediHelp also lists interactions of Calcitriol with, for example, Amlodipine-hydrochlorothiazide-valsartan, Amlodipine-olmesartan-hydrochlorothiazide, Amobarbital. The full list is on the Calcitriol page.

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