Drug interactions
Repotrectinib + Theophylline
Severity: Moderate
Repotrectinib and Theophylline: 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 theophylline levels, although CYP3A4 is only a minor route of theophylline clearance. The effect is likely modest, but loss of control of asthma or COPD symptoms is possible.
What this interaction means in plain words
Repotrectinib and Theophylline 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 belongs to Oncology; Theophylline belongs to Respiratory.
Why it happens
Repotrectinib induces CYP3A4, increasing clearance via a minor pathway of theophylline metabolism.
What to do
Monitor theophylline serum levels and respiratory control, and increase the theophylline dose if concentrations fall.
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?
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Other interactions of Theophylline
- Riociguat + Theophylline Contraindicated
- Adenosine + Theophylline Major
- Apalutamide + Theophylline Major
- Bupropion + Theophylline Major
- Carvedilol + Theophylline Major
- Cimetidine + Theophylline Major
Other interactions of Repotrectinib
- Apalutamide + Repotrectinib Contraindicated
- Amiodarone + Repotrectinib Major
- Amobarbital + Repotrectinib Major
- Aprepitant + Repotrectinib Major
- Armodafinil + Repotrectinib Major
- Bosentan + Repotrectinib Major
Frequently asked questions
Can I take Repotrectinib with Theophylline?
MediHelp rates the interaction as moderate. Repotrectinib and Theophylline 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 theophylline levels, although CYP3A4 is only a minor route of theophylline clearance. The effect is likely modest, but loss of control of asthma or COPD symptoms is possible.
How serious is the interaction between Repotrectinib and Theophylline?
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 theophylline serum levels and respiratory control, and increase the theophylline dose if concentrations fall.
What other medicines interact with Theophylline?
MediHelp also lists interactions of Theophylline with, for example, Riociguat, Adenosine, Apalutamide. The full list is on the Theophylline page.
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