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Drug interactions

Lorlatinib + Tazemetostat

Severity: Moderate

Lorlatinib and Tazemetostat: moderate 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

Tazemetostat is a CYP3A4 substrate and a weak CYP3A inducer, while lorlatinib is a CYP3A4 substrate and a moderate inducer. Each may lower the other's exposure, and the combination could reduce the efficacy of either drug. Lorlatinib may also lower tazemetostat exposure.

What this interaction means in plain words

Lorlatinib and Tazemetostat can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Lorlatinib belongs to Oncology; Tazemetostat belongs to Miscellaneous.

Evidence level: Low

Why it happens

Mutual CYP3A4 induction leads to accelerated metabolism of both drugs.

What to do

Monitor for reduced antitumor response and check lorlatinib tolerability and response. Avoid the combination if an alternative regimen is available.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

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 Tazemetostat?

MediHelp rates the interaction as moderate. Lorlatinib and Tazemetostat can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Tazemetostat is a CYP3A4 substrate and a weak CYP3A inducer, while lorlatinib is a CYP3A4 substrate and a moderate inducer. Each may lower the other's exposure, and the combination could reduce the efficacy of either drug. Lorlatinib may also lower tazemetostat exposure.

How serious is the interaction between Lorlatinib and Tazemetostat?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for reduced antitumor response and check lorlatinib tolerability and response. Avoid the combination if an alternative regimen is available.

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.

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