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Drug interactions

Clotrimazole + Lurbinectedin

Severity: Moderate

Clotrimazole and Lurbinectedin: 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

Clotrimazole may increase lurbinectedin exposure, raising risk of myelosuppression and hepatotoxicity. Lurbinectedin labeling cautions against CYP3A inhibitors.

What this interaction means in plain words

Clotrimazole and Lurbinectedin 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.

Clotrimazole belongs to Anti Fungals; Lurbinectedin belongs to Oncology.

Evidence level: Low

Why it happens

Clotrimazole inhibits CYP3A4, the major route of lurbinectedin clearance.

What to do

Avoid systemic clotrimazole and use an alternative antifungal. If combined, monitor blood counts and liver enzymes.

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 Clotrimazole with Lurbinectedin?

MediHelp rates the interaction as moderate. Clotrimazole and Lurbinectedin 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. Clotrimazole may increase lurbinectedin exposure, raising risk of myelosuppression and hepatotoxicity. Lurbinectedin labeling cautions against CYP3A inhibitors.

How serious is the interaction between Clotrimazole and Lurbinectedin?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid systemic clotrimazole and use an alternative antifungal. If combined, monitor blood counts and liver enzymes.

What other medicines interact with Clotrimazole?

MediHelp also lists interactions of Clotrimazole with, for example, Lomitapide, Mavacamten, Mobocertinib. The full list is on the Clotrimazole page.

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