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Drug interactions

Larotrectinib + Saxagliptin

Severity: Minor

Larotrectinib and Saxagliptin: 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 moderate CYP3A4 inhibitor and may raise saxagliptin levels. The increase is expected to be modest, and saxagliptin has a wide margin of safety.

What this interaction means in plain words

Larotrectinib and Saxagliptin 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; Saxagliptin belongs to Endocrine.

Evidence level: Low

Why it happens

CYP3A4 inhibition reduces conversion of saxagliptin to its active metabolite.

What to do

Usually no dose change is needed; monitor for saxagliptin adverse effects and glycemic response.

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 Saxagliptin?

MediHelp rates the interaction as minor. Larotrectinib and Saxagliptin 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 moderate CYP3A4 inhibitor and may raise saxagliptin levels. The increase is expected to be modest, and saxagliptin has a wide margin of safety.

How serious is the interaction between Larotrectinib and Saxagliptin?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Usually no dose change is needed; monitor for saxagliptin adverse effects and glycemic response.

What other medicines interact with Saxagliptin?

MediHelp also lists interactions of Saxagliptin with, for example, Albiglutide, Amlodipine-benazepril, Aripiprazole. The full list is on the Saxagliptin page.

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