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Drug interactions

Hydroxyprogesterone caproate + Lorlatinib

Severity: Moderate

Hydroxyprogesterone caproate and Lorlatinib: 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

Hydroxyprogesterone caproate is metabolized partly by CYP3A4, so lorlatinib may lower its levels and reduce effect.

What this interaction means in plain words

Hydroxyprogesterone caproate and Lorlatinib 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.

Evidence level: Low

Why it happens

Lorlatinib induces CYP3A4, increasing hydroxyprogesterone caproate metabolism.

What to do

Monitor for reduced therapeutic response. Consider an alternative progestin if efficacy is needed and lost.

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 Hydroxyprogesterone caproate with Lorlatinib?

MediHelp rates the interaction as moderate. Hydroxyprogesterone caproate and Lorlatinib 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. Hydroxyprogesterone caproate is metabolized partly by CYP3A4, so lorlatinib may lower its levels and reduce effect.

How serious is the interaction between Hydroxyprogesterone caproate and Lorlatinib?

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 reduced therapeutic response. Consider an alternative progestin if efficacy is needed and lost.

What other medicines interact with Lorlatinib?

MediHelp also lists interactions of Lorlatinib with, for example, Amobarbital, Apalutamide, Butabarbital. The full list is on the Lorlatinib 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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