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Drug interactions

Crizotinib + Elacestrant

Severity: Moderate

Crizotinib and Elacestrant: 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 is a moderate CYP3A4 inhibitor and may increase elacestrant plasma concentrations. Higher exposure could increase elacestrant adverse effects such as nausea and dyslipidemia.

What this interaction means in plain words

Crizotinib and Elacestrant 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; Elacestrant belongs to Oncology.

Evidence level: Moderate

Why it happens

Crizotinib inhibits CYP3A4, the main enzyme metabolizing elacestrant.

What to do

Avoid concomitant use where possible. If used together, monitor for elacestrant adverse effects and consider an alternative to crizotinib.

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 Elacestrant?

MediHelp rates the interaction as moderate. Crizotinib and Elacestrant 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 is a moderate CYP3A4 inhibitor and may increase elacestrant plasma concentrations. Higher exposure could increase elacestrant adverse effects such as nausea and dyslipidemia.

How serious is the interaction between Crizotinib and Elacestrant?

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 concomitant use where possible. If used together, monitor for elacestrant adverse effects and consider an alternative to crizotinib.

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.

Full monographs, dosing and an interaction checker in the MediHelp app

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