Drug interactions
Leniolisib + Modafinil
Severity: Major
Leniolisib and Modafinil: major 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
Modafinil may lower leniolisib exposure through CYP3A4 induction, potentially reducing efficacy in APDS. Labeling advises against moderate or strong CYP3A4 inducers.
What this interaction means in plain words
Leniolisib and Modafinil can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.
Leniolisib belongs to Miscellaneous; Modafinil belongs to Central Nervous System.
Why it happens
Modafinil induces CYP3A4, increasing the clearance of leniolisib.
What to do
Avoid the combination if possible and use a non-inducing alternative for wakefulness. If unavoidable, monitor clinical response to leniolisib.
What to ask your pharmacist
- Does the benefit of taking both outweigh the risk in my case?
- Do I need any blood test, ECG or other check while on both?
- What early warning signs should I watch for, and what should I do if they appear?
Pro+ members
Unlock the full page
Create an account and start a Pro+ trial to unlock the full management advice for Leniolisib and Modafinil, the additional notes, the evidence detail and the whole-prescription interaction checker.
- Full clinical management advice
- Additional notes
- Evidence detail
- Interaction checker for a whole prescription
Try Pro+ free for 14 days on the web. No card needed.
Other interactions of Modafinil
Other interactions of Leniolisib
Frequently asked questions
Can I take Leniolisib with Modafinil?
MediHelp rates the interaction as major. Leniolisib and Modafinil can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Modafinil may lower leniolisib exposure through CYP3A4 induction, potentially reducing efficacy in APDS. Labeling advises against moderate or strong CYP3A4 inducers.
How serious is the interaction between Leniolisib and Modafinil?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination if possible and use a non-inducing alternative for wakefulness. If unavoidable, monitor clinical response to leniolisib.
What other medicines interact with Modafinil?
MediHelp also lists interactions of Modafinil with, for example, Lenacapavir, Lorlatinib, Lumateperone. The full list is on the Modafinil 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.
