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Drug interactions

Estradiol + Larotrectinib

Severity: Minor

Estradiol 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 and weak inhibitor, so it could marginally raise estradiol concentrations. No clinically meaningful effect has been demonstrated.

What this interaction means in plain words

Estradiol 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.

Estradiol belongs to Endocrine; Larotrectinib belongs to Oncology.

Evidence level: Low

Why it happens

Possible weak CYP3A4 inhibition by larotrectinib may slightly reduce estradiol metabolism.

What to do

No dose adjustment is needed; monitor for estrogenic adverse effects.

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?

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Frequently asked questions

Can I take Estradiol with Larotrectinib?

MediHelp rates the interaction as minor. Estradiol 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 and weak inhibitor, so it could marginally raise estradiol concentrations. No clinically meaningful effect has been demonstrated.

How serious is the interaction between Estradiol 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: No dose adjustment is needed; monitor for estrogenic adverse effects.

What other medicines interact with Estradiol?

MediHelp also lists interactions of Estradiol with, for example, Anastrozole, Fezolinetant, Ospemifene. The full list is on the Estradiol page.

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