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Drug interactions

Capivasertib + Ribociclib

Severity: Moderate

Capivasertib and Ribociclib: 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

Ribociclib can increase capivasertib exposure by inhibiting its CYP3A4 metabolism. This may worsen hyperglycemia, rash and diarrhea.

What this interaction means in plain words

Capivasertib and Ribociclib 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.

Capivasertib belongs to Oncology; Ribociclib belongs to Oncology.

Evidence level: Moderate

Why it happens

CYP3A4 inhibition by ribociclib decreases capivasertib clearance.

What to do

Reduce the capivasertib dose per labeling for moderate CYP3A inhibitors, and monitor glucose and skin and GI toxicity.

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 Capivasertib with Ribociclib?

MediHelp rates the interaction as moderate. Capivasertib and Ribociclib 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. Ribociclib can increase capivasertib exposure by inhibiting its CYP3A4 metabolism. This may worsen hyperglycemia, rash and diarrhea.

How serious is the interaction between Capivasertib and Ribociclib?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Reduce the capivasertib dose per labeling for moderate CYP3A inhibitors, and monitor glucose and skin and GI toxicity.

What other medicines interact with Ribociclib?

MediHelp also lists interactions of Ribociclib with, for example, Amiodarone, Cisapride, Dofetilide. The full list is on the Ribociclib 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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