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Drug interactions

Darolutamide + Lapatinib

Severity: Moderate

Darolutamide and Lapatinib: 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

Darolutamide inhibits BCRP, a transporter that limits lapatinib absorption and contributes to its elimination. Lapatinib exposure may therefore increase, raising the chance of diarrhea, hepatotoxicity and QT prolongation.

What this interaction means in plain words

Darolutamide and Lapatinib 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.

Darolutamide belongs to Miscellaneous; Lapatinib belongs to Oncology.

Evidence level: Low

Why it happens

BCRP inhibition by darolutamide increases lapatinib absorption and reduces its efflux.

What to do

Monitor for lapatinib adverse effects, including liver tests and ECG. Consider reducing the lapatinib dose if toxicity occurs.

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 Darolutamide with Lapatinib?

MediHelp rates the interaction as moderate. Darolutamide and Lapatinib 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. Darolutamide inhibits BCRP, a transporter that limits lapatinib absorption and contributes to its elimination. Lapatinib exposure may therefore increase, raising the chance of diarrhea, hepatotoxicity and QT prolongation.

How serious is the interaction between Darolutamide and Lapatinib?

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 for lapatinib adverse effects, including liver tests and ECG. Consider reducing the lapatinib dose if toxicity occurs.

What other medicines interact with Lapatinib?

MediHelp also lists interactions of Lapatinib with, for example, Dofetilide, Ibutilide, Pimozide. The full list is on the Lapatinib page.

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

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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