Drug interactions
Enzalutamide + Leniolisib
Severity: Major
Enzalutamide and Leniolisib: major 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
Strong CYP3A inducers reduce leniolisib exposure and may lessen its efficacy in activated PI3K delta syndrome. Enzalutamide is a strong CYP3A4 inducer.
What this interaction means in plain words
Enzalutamide and Leniolisib can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.
Enzalutamide belongs to Endocrine; Leniolisib belongs to Miscellaneous.
Why it happens
Enzalutamide induces CYP3A4, increasing leniolisib clearance.
What to do
Avoid coadministration. Monitor clinical and immunologic response if unavoidable.
What to ask your pharmacist
- Does the benefit of taking both outweigh the risk in my case?
- Do I need any blood test, ECG or other check while on both?
- What early warning signs should I watch for, and what should I do if they appear?
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Other interactions of Enzalutamide
- Doravirine + Enzalutamide Contraindicated
- Elbasvir / grazoprevir + Enzalutamide Contraindicated
- Ensitrelvir + Enzalutamide Contraindicated
- Enzalutamide + Fostemsavir Contraindicated
- Enzalutamide + Isavuconazonium Contraindicated
- Enzalutamide + Lenacapavir Contraindicated
Other interactions of Leniolisib
Frequently asked questions
Can I take Enzalutamide with Leniolisib?
MediHelp rates the interaction as major. Enzalutamide and Leniolisib can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Strong CYP3A inducers reduce leniolisib exposure and may lessen its efficacy in activated PI3K delta syndrome. Enzalutamide is a strong CYP3A4 inducer.
How serious is the interaction between Enzalutamide and Leniolisib?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid coadministration. Monitor clinical and immunologic response if unavoidable.
What other medicines interact with Enzalutamide?
MediHelp also lists interactions of Enzalutamide with, for example, Doravirine, Elbasvir / grazoprevir, Ensitrelvir. The full list is on the Enzalutamide page.
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