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Drug interactions

Larotrectinib + Praziquantel

Severity: Minor

Larotrectinib and Praziquantel: 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 in vitro inhibitory activity, so an effect on praziquantel is uncertain and likely small. Any increase in praziquantel exposure would be expected to be brief given its short dosing course.

What this interaction means in plain words

Larotrectinib and Praziquantel 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; Praziquantel belongs to Anti Parasitic.

Evidence level: Low

Why it happens

Possible weak CYP3A4 inhibition by larotrectinib; the mechanism is not firmly established.

What to do

No dose change is needed. Monitor tolerability of praziquantel such as dizziness and drowsiness.

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 Praziquantel?

MediHelp rates the interaction as minor. Larotrectinib and Praziquantel 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 in vitro inhibitory activity, so an effect on praziquantel is uncertain and likely small. Any increase in praziquantel exposure would be expected to be brief given its short dosing course.

How serious is the interaction between Larotrectinib and Praziquantel?

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 needed. Monitor tolerability of praziquantel such as dizziness and drowsiness.

What other medicines interact with Praziquantel?

MediHelp also lists interactions of Praziquantel with, for example, Enzalutamide, Rifampin, Amobarbital. The full list is on the Praziquantel page.

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