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Drug interactions

Crizotinib + Daridorexant

Severity: Moderate

Crizotinib and Daridorexant: 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

Crizotinib may increase daridorexant exposure, which may cause excess next-day somnolence and impaired driving.

What this interaction means in plain words

Crizotinib and Daridorexant 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.

Crizotinib belongs to Oncology; Daridorexant belongs to Central Nervous System.

Evidence level: Moderate

Why it happens

Crizotinib inhibits CYP3A4, reducing daridorexant clearance.

What to do

Limit daridorexant to 25 mg nightly with a moderate CYP3A4 inhibitor. Counsel on next-day drowsiness.

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 Crizotinib with Daridorexant?

MediHelp rates the interaction as moderate. Crizotinib and Daridorexant 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. Crizotinib may increase daridorexant exposure, which may cause excess next-day somnolence and impaired driving.

How serious is the interaction between Crizotinib and Daridorexant?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Limit daridorexant to 25 mg nightly with a moderate CYP3A4 inhibitor. Counsel on next-day drowsiness.

What other medicines interact with Crizotinib?

MediHelp also lists interactions of Crizotinib with, for example, Flibanserin, Lomitapide, Lonafarnib. The full list is on the Crizotinib page.

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