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Drug interactions

Lorlatinib + Polatuzumab vedotin

Severity: Minor

Lorlatinib and Polatuzumab vedotin: 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

Polatuzumab releases MMAE, which is a CYP3A4 substrate. Lorlatinib may lower unconjugated MMAE exposure, with uncertain effect on efficacy.

What this interaction means in plain words

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

Lorlatinib belongs to Oncology; Polatuzumab vedotin belongs to Oncology.

Evidence level: Low

Why it happens

Lorlatinib induces CYP3A4, increasing clearance of free MMAE.

What to do

No dose change is required. Monitor lymphoma 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 Lorlatinib with Polatuzumab vedotin?

MediHelp rates the interaction as minor. Lorlatinib and Polatuzumab vedotin have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Polatuzumab releases MMAE, which is a CYP3A4 substrate. Lorlatinib may lower unconjugated MMAE exposure, with uncertain effect on efficacy.

How serious is the interaction between Lorlatinib and Polatuzumab vedotin?

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 required. Monitor lymphoma response.

What other medicines interact with Lorlatinib?

MediHelp also lists interactions of Lorlatinib with, for example, Amobarbital, Apalutamide, Butabarbital. The full list is on the Lorlatinib 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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