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Drug interactions

Docetaxel + Lenacapavir

Severity: Moderate

Docetaxel and Lenacapavir: 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

Lenacapavir is a moderate CYP3A4 inhibitor and its long-acting injection keeps inhibiting for months. Docetaxel levels may rise, increasing myelosuppression and other toxicities.

What this interaction means in plain words

Docetaxel and Lenacapavir 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.

Docetaxel belongs to Oncology; Lenacapavir belongs to Anti Virals.

Evidence level: Low

Why it happens

Lenacapavir inhibits CYP3A4, reducing docetaxel metabolism.

What to do

Monitor blood counts and docetaxel toxicity, including after subcutaneous lenacapavir dosing, and reduce docetaxel 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 Docetaxel with Lenacapavir?

MediHelp rates the interaction as moderate. Docetaxel and Lenacapavir 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. Lenacapavir is a moderate CYP3A4 inhibitor and its long-acting injection keeps inhibiting for months. Docetaxel levels may rise, increasing myelosuppression and other toxicities.

How serious is the interaction between Docetaxel and Lenacapavir?

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 blood counts and docetaxel toxicity, including after subcutaneous lenacapavir dosing, and reduce docetaxel dose if toxicity occurs.

What other medicines interact with Docetaxel?

MediHelp also lists interactions of Docetaxel with, for example, Adenovirus types 4 and 7 live, Atazanavir, Belatacept. The full list is on the Docetaxel page.

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

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