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Drug interactions

Letermovir + Letrozole

Severity: Minor

Letermovir and Letrozole: 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

Letermovir is a moderate CYP3A inhibitor and letrozole is metabolized in part by CYP3A4 and CYP2A6. Letrozole exposure may rise modestly, though the clinical significance is not well established.

What this interaction means in plain words

Letermovir and Letrozole have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Letermovir belongs to Anti Virals; Letrozole belongs to Oncology.

Evidence level: Low

Why it happens

Letermovir inhibition of CYP3A4 reduces part of the metabolic clearance of letrozole.

What to do

No routine dose change is needed. Watch for increased letrozole adverse effects such as hot flashes, arthralgia or fatigue.

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 Letermovir with Letrozole?

MediHelp rates the interaction as minor. Letermovir and Letrozole have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Letermovir is a moderate CYP3A inhibitor and letrozole is metabolized in part by CYP3A4 and CYP2A6. Letrozole exposure may rise modestly, though the clinical significance is not well established.

How serious is the interaction between Letermovir and Letrozole?

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 routine dose change is needed. Watch for increased letrozole adverse effects such as hot flashes, arthralgia or fatigue.

What other medicines interact with Letrozole?

MediHelp also lists interactions of Letrozole with, for example, Desogestrel-ethinyl estradiol, Ethinyl estradiol-drospirenone, Ethinyl estradiol-levonorgestrel. The full list is on the Letrozole page.

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