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Drug interactions

Larotrectinib + Palbociclib

Severity: Minor

Larotrectinib and Palbociclib: 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 with weak inhibitory activity, so a small rise in palbociclib exposure is theoretically possible. Clinically relevant effects are not established.

What this interaction means in plain words

Larotrectinib and Palbociclib 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; Palbociclib belongs to Oncology.

Evidence level: Low

Why it happens

Larotrectinib may weakly inhibit CYP3A4, though the effect on palbociclib is unestablished.

What to do

No dose adjustment is needed; monitor blood counts as usual during therapy.

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 Palbociclib?

MediHelp rates the interaction as minor. Larotrectinib and Palbociclib 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 with weak inhibitory activity, so a small rise in palbociclib exposure is theoretically possible. Clinically relevant effects are not established.

How serious is the interaction between Larotrectinib and Palbociclib?

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 blood counts as usual during therapy.

What other medicines interact with Palbociclib?

MediHelp also lists interactions of Palbociclib with, for example, Apalutamide, Atazanavir, Carbamazepine. The full list is on the Palbociclib 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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