Drug interactions
Lopinavir + Netupitant-palonosetron
Severity: Minor
Lopinavir and Netupitant-palonosetron: 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
Lopinavir, boosted with ritonavir, inhibits CYP3A4 and may increase netupitant concentrations. Labeling does not require an adjustment, and the effect is generally modest for single-dose use.
What this interaction means in plain words
Lopinavir and Netupitant-palonosetron have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.
Lopinavir belongs to Anti Virals; Netupitant-palonosetron belongs to Gastrointestinal Tract.
Why it happens
Lopinavir/ritonavir inhibits CYP3A4, reducing netupitant metabolism.
What to do
No dose adjustment is needed. Monitor for netupitant adverse effects such as headache and constipation.
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?
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Other interactions of Netupitant-palonosetron
- Apomorphine + Netupitant-palonosetron Contraindicated
- Flibanserin + Netupitant-palonosetron Contraindicated
- Apalutamide + Netupitant-palonosetron Major
- Avapritinib + Netupitant-palonosetron Major
- Carbamazepine + Netupitant-palonosetron Major
- Cobimetinib + Netupitant-palonosetron Major
Other interactions of Lopinavir
- Alfuzosin + Lopinavir Contraindicated
- Avanafil + Lopinavir Contraindicated
- Cisapride + Lopinavir Contraindicated
- Dronedarone + Lopinavir Contraindicated
- Eletriptan + Lopinavir Contraindicated
- Eplerenone + Lopinavir Contraindicated
Frequently asked questions
Can I take Lopinavir with Netupitant-palonosetron?
MediHelp rates the interaction as minor. Lopinavir and Netupitant-palonosetron have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Lopinavir, boosted with ritonavir, inhibits CYP3A4 and may increase netupitant concentrations. Labeling does not require an adjustment, and the effect is generally modest for single-dose use.
How serious is the interaction between Lopinavir and Netupitant-palonosetron?
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 adjustment is needed. Monitor for netupitant adverse effects such as headache and constipation.
What other medicines interact with Netupitant-palonosetron?
MediHelp also lists interactions of Netupitant-palonosetron with, for example, Apomorphine, Flibanserin, Apalutamide. The full list is on the Netupitant-palonosetron page.
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