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Drug interactions

Fenofibrate + Larotrectinib

Severity: Minor

Fenofibrate 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 a weak inhibitor of it. Fenofibrate depends little on CYP3A4, so a clinically meaningful effect is unlikely.

What this interaction means in plain words

Fenofibrate 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.

Fenofibrate belongs to Cardiovascular; Larotrectinib belongs to Oncology.

Evidence level: Low

Why it happens

Possible weak CYP3A4 inhibition by larotrectinib with minimal relevance to fenofibrate clearance.

What to do

No dose change is required. Monitor routine lipid and liver parameters.

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 Fenofibrate with Larotrectinib?

MediHelp rates the interaction as minor. Fenofibrate 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 a weak inhibitor of it. Fenofibrate depends little on CYP3A4, so a clinically meaningful effect is unlikely.

How serious is the interaction between Fenofibrate 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 change is required. Monitor routine lipid and liver parameters.

What other medicines interact with Fenofibrate?

MediHelp also lists interactions of Fenofibrate with, for example, Atorvastatin, Cholestyramine, Cholic acid. The full list is on the Fenofibrate page.

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