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Drug interactions

Erlotinib + Larotrectinib

Severity: Minor

Erlotinib and Larotrectinib: minor 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

Larotrectinib is a CYP3A4 substrate with possible weak inhibitory activity, so a small rise in erlotinib exposure is conceivable. Clinical significance is uncertain.

What this interaction means in plain words

Erlotinib and Larotrectinib have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Erlotinib belongs to Oncology; Larotrectinib belongs to Oncology.

Evidence level: Low

Why it happens

Possible weak CYP3A4 inhibition by larotrectinib; the effect is not well established.

What to do

Monitor for erlotinib adverse effects such as rash and diarrhea and reduce the dose if needed.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

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 Erlotinib with Larotrectinib?

MediHelp rates the interaction as minor. Erlotinib and Larotrectinib have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Larotrectinib is a CYP3A4 substrate with possible weak inhibitory activity, so a small rise in erlotinib exposure is conceivable. Clinical significance is uncertain.

How serious is the interaction between Erlotinib and Larotrectinib?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for erlotinib adverse effects such as rash and diarrhea and reduce the dose if needed.

What other medicines interact with Erlotinib?

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

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

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