Drug interactions
Cariprazine + Tucatinib
Severity: Moderate
Cariprazine and Tucatinib: 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
Tucatinib is a CYP3A4 inhibitor and may raise cariprazine concentrations. Increased exposure can worsen akathisia, parkinsonism and sedation.
What this interaction means in plain words
Cariprazine and Tucatinib 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.
Cariprazine belongs to Central Nervous System; Tucatinib belongs to Oncology.
Why it happens
Inhibition of CYP3A4-mediated metabolism of cariprazine.
What to do
Monitor for extrapyramidal and sedative effects and consider reducing the cariprazine dose. Reassess dosing after tucatinib is stopped.
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?
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Other interactions of Cariprazine
Other interactions of Tucatinib
- Cisapride + Tucatinib Contraindicated
- Eletriptan + Tucatinib Contraindicated
- Ergotamine + Tucatinib Contraindicated
- Flibanserin + Tucatinib Contraindicated
- Ranolazine + Tucatinib Contraindicated
- Amobarbital + Tucatinib Major
Frequently asked questions
Can I take Cariprazine with Tucatinib?
MediHelp rates the interaction as moderate. Cariprazine and Tucatinib 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. Tucatinib is a CYP3A4 inhibitor and may raise cariprazine concentrations. Increased exposure can worsen akathisia, parkinsonism and sedation.
How serious is the interaction between Cariprazine and Tucatinib?
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 for extrapyramidal and sedative effects and consider reducing the cariprazine dose. Reassess dosing after tucatinib is stopped.
What other medicines interact with Cariprazine?
MediHelp also lists interactions of Cariprazine with, for example, Alfentanil, Amisulpride, Amobarbital. The full list is on the Cariprazine page.
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