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Drug interactions

Crizotinib + Tezacaftor

Severity: Moderate

Crizotinib and Tezacaftor: 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 inhibits CYP3A moderately and can raise tezacaftor exposure. Higher tezacaftor levels may increase the risk of dose-related adverse effects such as liver enzyme elevations.

What this interaction means in plain words

Crizotinib and Tezacaftor 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.

Evidence level: Moderate

Why it happens

Crizotinib inhibits CYP3A4, reducing the metabolism of tezacaftor, a CYP3A substrate.

What to do

Follow the tezacaftor/ivacaftor labeling for moderate CYP3A inhibitors, which calls for a reduced dosing schedule. Monitor liver function tests.

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 Tezacaftor?

MediHelp rates the interaction as moderate. Crizotinib and Tezacaftor 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 inhibits CYP3A moderately and can raise tezacaftor exposure. Higher tezacaftor levels may increase the risk of dose-related adverse effects such as liver enzyme elevations.

How serious is the interaction between Crizotinib and Tezacaftor?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Follow the tezacaftor/ivacaftor labeling for moderate CYP3A inhibitors, which calls for a reduced dosing schedule. Monitor liver function tests.

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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