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Drug interactions

Larotrectinib + Regorafenib

Severity: Minor

Larotrectinib and Regorafenib: 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 weak CYP3A4 inhibitor in vitro and may slightly increase regorafenib levels. Clinical impact is probably small but could add to regorafenib toxicity.

What this interaction means in plain words

Larotrectinib and Regorafenib 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; Regorafenib belongs to Oncology.

Evidence level: Low

Why it happens

Weak CYP3A4 inhibition by larotrectinib reducing regorafenib metabolism.

What to do

No dose change is usually required; monitor liver tests and for regorafenib adverse effects.

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 Regorafenib?

MediHelp rates the interaction as minor. Larotrectinib and Regorafenib 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 weak CYP3A4 inhibitor in vitro and may slightly increase regorafenib levels. Clinical impact is probably small but could add to regorafenib toxicity.

How serious is the interaction between Larotrectinib and Regorafenib?

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 usually required; monitor liver tests and for regorafenib adverse effects.

What other medicines interact with Regorafenib?

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