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Drug interactions

Repaglinide + Repotrectinib

Severity: Moderate

Repaglinide and Repotrectinib: 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

Repotrectinib induces CYP3A4 and may lower repaglinide concentrations. This can lead to hyperglycemia from reduced efficacy.

What this interaction means in plain words

Repaglinide and Repotrectinib 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.

Repaglinide belongs to Endocrine; Repotrectinib belongs to Oncology.

Evidence level: Moderate

Why it happens

Repotrectinib induces CYP3A4, increasing repaglinide metabolism.

What to do

Monitor blood glucose and titrate repaglinide upward or switch to an agent not dependent on CYP3A4 if control worsens.

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 Repaglinide with Repotrectinib?

MediHelp rates the interaction as moderate. Repaglinide and Repotrectinib 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. Repotrectinib induces CYP3A4 and may lower repaglinide concentrations. This can lead to hyperglycemia from reduced efficacy.

How serious is the interaction between Repaglinide and Repotrectinib?

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 blood glucose and titrate repaglinide upward or switch to an agent not dependent on CYP3A4 if control worsens.

What other medicines interact with Repaglinide?

MediHelp also lists interactions of Repaglinide with, for example, Gemfibrozil, Clarithromycin, Clopidogrel. The full list is on the Repaglinide 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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