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Drug interactions

Dutasteride-tamsulosin + Lapatinib

Severity: Moderate

Dutasteride-tamsulosin 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

Lapatinib is a weak-to-moderate CYP3A4 inhibitor and may increase exposure to tamsulosin and dutasteride, both CYP3A4 substrates. Higher tamsulosin levels can cause more dizziness and hypotension.

What this interaction means in plain words

Dutasteride-tamsulosin 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.

Dutasteride-tamsulosin belongs to Genitourinary; Lapatinib belongs to Oncology.

Evidence level: Low

Why it happens

Inhibition of intestinal and hepatic CYP3A4 reduces clearance of tamsulosin and dutasteride.

What to do

Monitor for orthostatic hypotension and dizziness during lapatinib therapy. Consider an alternative if symptoms occur.

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 Dutasteride-tamsulosin with Lapatinib?

MediHelp rates the interaction as moderate. Dutasteride-tamsulosin 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. Lapatinib is a weak-to-moderate CYP3A4 inhibitor and may increase exposure to tamsulosin and dutasteride, both CYP3A4 substrates. Higher tamsulosin levels can cause more dizziness and hypotension.

How serious is the interaction between Dutasteride-tamsulosin 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 orthostatic hypotension and dizziness during lapatinib therapy. Consider an alternative if symptoms occur.

What other medicines interact with Dutasteride-tamsulosin?

MediHelp also lists interactions of Dutasteride-tamsulosin with, for example, Alfuzosin, Amifostine, Atazanavir. The full list is on the Dutasteride-tamsulosin page.

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