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Drug interactions

Dantrolene + Tucatinib

Severity: Moderate

Dantrolene and Tucatinib: 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

Tucatinib is a CYP3A inhibitor that can raise concentrations of CYP3A substrates. Dantrolene is partly metabolized by hepatic enzymes, so exposure may increase, with greater risk of sedation, weakness and hepatotoxicity.

What this interaction means in plain words

Dantrolene and Tucatinib 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.

Dantrolene belongs to Musculoskeletal; Tucatinib belongs to Oncology.

Evidence level: Low

Why it happens

Tucatinib inhibits CYP3A, potentially reducing dantrolene metabolism.

What to do

Monitor liver function and for excessive sedation or weakness, and reduce the dantrolene dose if adverse effects occur. Consider alternatives if long-term use is needed.

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 Dantrolene with Tucatinib?

MediHelp rates the interaction as moderate. Dantrolene and Tucatinib 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. Tucatinib is a CYP3A inhibitor that can raise concentrations of CYP3A substrates. Dantrolene is partly metabolized by hepatic enzymes, so exposure may increase, with greater risk of sedation, weakness and hepatotoxicity.

How serious is the interaction between Dantrolene and Tucatinib?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor liver function and for excessive sedation or weakness, and reduce the dantrolene dose if adverse effects occur. Consider alternatives if long-term use is needed.

What other medicines interact with Dantrolene?

MediHelp also lists interactions of Dantrolene with, for example, Benzhydrocodone / acetaminophen, Buprenorphine long-acting, Buprenorphine subdermal implant. The full list is on the Dantrolene page.

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