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Drug interactions

Elagolix + Palbociclib

Severity: Moderate

Elagolix and Palbociclib: 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

Elagolix is a weak-to-moderate CYP3A4 inducer and may lower palbociclib concentrations. This could reduce antitumor efficacy, although the clinical impact has not been well characterized.

What this interaction means in plain words

Elagolix and Palbociclib 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.

Elagolix belongs to Musculoskeletal; Palbociclib belongs to Oncology.

Evidence level: Low

Why it happens

Elagolix induces CYP3A4, increasing the metabolism of palbociclib.

What to do

Avoid the combination where possible, as elagolix is rarely needed in patients on palbociclib; otherwise monitor for reduced tumor response.

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 Elagolix with Palbociclib?

MediHelp rates the interaction as moderate. Elagolix and Palbociclib 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. Elagolix is a weak-to-moderate CYP3A4 inducer and may lower palbociclib concentrations. This could reduce antitumor efficacy, although the clinical impact has not been well characterized.

How serious is the interaction between Elagolix and Palbociclib?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination where possible, as elagolix is rarely needed in patients on palbociclib; otherwise monitor for reduced tumor response.

What other medicines interact with Palbociclib?

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

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

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