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Drug interactions

Gefitinib + Ribociclib

Severity: Moderate

Gefitinib and Ribociclib: 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

Gefitinib is mainly metabolized by CYP3A4, so ribociclib may increase gefitinib exposure. This may worsen diarrhea, rash, interstitial lung disease and liver enzyme elevation.

What this interaction means in plain words

Gefitinib and Ribociclib 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.

Gefitinib belongs to Oncology; Ribociclib belongs to Oncology.

Evidence level: Moderate

Why it happens

Ribociclib inhibits CYP3A4, reducing gefitinib clearance.

What to do

Monitor for gefitinib toxicity including diarrhea, skin reactions and liver tests. Interrupt or reduce gefitinib as needed.

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 Gefitinib with Ribociclib?

MediHelp rates the interaction as moderate. Gefitinib and Ribociclib 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. Gefitinib is mainly metabolized by CYP3A4, so ribociclib may increase gefitinib exposure. This may worsen diarrhea, rash, interstitial lung disease and liver enzyme elevation.

How serious is the interaction between Gefitinib and Ribociclib?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for gefitinib toxicity including diarrhea, skin reactions and liver tests. Interrupt or reduce gefitinib as needed.

What other medicines interact with Ribociclib?

MediHelp also lists interactions of Ribociclib with, for example, Amiodarone, Cisapride, Dofetilide. The full list is on the Ribociclib page.

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

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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