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Drug interactions

Larotrectinib + Lovastatin

Severity: Minor

Larotrectinib and Lovastatin: 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 may weakly inhibit CYP3A4, so lovastatin levels could rise modestly. This could slightly increase the chance of statin muscle toxicity.

What this interaction means in plain words

Larotrectinib and Lovastatin 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 belongs to Oncology; Lovastatin belongs to Cardiovascular.

Evidence level: Low

Why it happens

Possible weak CYP3A4 inhibition reducing lovastatin metabolism.

What to do

Counsel the patient to report muscle pain or weakness, and check CK if symptoms occur.

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 Larotrectinib with Lovastatin?

MediHelp rates the interaction as minor. Larotrectinib and Lovastatin 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 may weakly inhibit CYP3A4, so lovastatin levels could rise modestly. This could slightly increase the chance of statin muscle toxicity.

How serious is the interaction between Larotrectinib and Lovastatin?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Counsel the patient to report muscle pain or weakness, and check CK if symptoms occur.

What other medicines interact with Lovastatin?

MediHelp also lists interactions of Lovastatin with, for example, Atazanavir, Clarithromycin, Cobicistat. The full list is on the Lovastatin page.

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

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