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Drug interactions

Crofelemer + Erlotinib

Severity: Minor

Crofelemer and Erlotinib: minor 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

Crofelemer is minimally absorbed but may inhibit CYP3A4 in the gut. A modest increase in erlotinib exposure is theoretically possible.

What this interaction means in plain words

Crofelemer and Erlotinib have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Crofelemer belongs to Gastrointestinal Tract; Erlotinib belongs to Oncology.

Evidence level: Low

Why it happens

Intestinal CYP3A4 inhibition by crofelemer could reduce first-pass metabolism of erlotinib.

What to do

No routine adjustment is needed. Monitor for worsening erlotinib adverse effects, particularly diarrhea, and manage as usual.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

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 Crofelemer with Erlotinib?

MediHelp rates the interaction as minor. Crofelemer and Erlotinib have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Crofelemer is minimally absorbed but may inhibit CYP3A4 in the gut. A modest increase in erlotinib exposure is theoretically possible.

How serious is the interaction between Crofelemer and Erlotinib?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No routine adjustment is needed. Monitor for worsening erlotinib adverse effects, particularly diarrhea, and manage as usual.

What other medicines interact with Erlotinib?

MediHelp also lists interactions of Erlotinib with, for example, Amobarbital, Apalutamide, Carbamazepine. The full list is on the Erlotinib page.

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

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