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Can you take Encorafenib with Little Tummys Laxative Drops?

1 drug interaction and 14 additional warnings found for the following 2 drugs:

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Drug interactions

Moderate drug interactions

Moderate:

senna encorafenib

Applies to: Little Tummys Laxative Drops (senna) and encorafenib

Encorafenib can cause an irregular heart rhythm that may be serious and potentially life-threatening, although it is a relatively rare side effect. The risk is increased if you have a heart condition called congenital long QT syndrome, other cardiac diseases, conduction abnormalities, or electrolyte disturbances, such as low blood levels of magnesium or potassium. These electrolyte disturbances can occur with bowel cleansing preparations or excessive use of medications that have a laxative effect, such as senna. Do not exceed the dose and duration recommended on the product label or prescribed by your doctor. You should seek immediate medical attention if you experience sudden dizziness, lightheadedness, fainting, shortness of breath, or heart palpitations during treatment with these medications, whether taken together or separately. In addition, you should let your doctor know if you experience signs and symptoms of low magnesium or potassium blood level such as weakness, tiredness, drowsiness, dizziness, confusion, tingling, numbness, muscle pain, cramps, nausea, or vomiting. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Food/lifestyle interactions

Major food/lifestyle interactions

Major:

encorafenib Food/Lifestyle

Applies to: encorafenib

You should preferably avoid consumption of grapefruit and grapefruit juice while taking encorafenib. Grapefruit and grapefruit juice can significantly increase the blood levels of encorafenib. This may increase the risk of serious side effects such as bleeding complications, eye and vision problems, liver problems, irregular heart rhythm, and development of new skin cancers. Talk to your doctor if you have any questions or concerns. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Moderate food/lifestyle interactions

Moderate:

senna multivitamins with minerals

Applies to: Little Tummys Laxative Drops (senna)

Chronic use of senna may reduce your body's ability to absorb certain vitamins (A, D, E, and K) and minerals like calcium. To reduce the risk of diminished absorption of multivitamins with minerals, it is best to use senna only occasionally or for short periods. If your doctor does prescribe these medications together, you may need a dose adjustment or special test to safely use both medications. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Disease interactions

12 potential interactions Applies to: 12 conditions, including Heart Failure, Hypokalemia, Inflammatory Bowel Disease, Cardiomyopathy, and Liver Disease.

Appendicitis

Major:

Little Tummys Laxative Drops

The senna in Little Tummys Laxative Drops has a major potential interaction with Appendicitis.

The use of stimulant laxatives is contraindicated in patients with or who may have acute surgical abdomen or appendicitis. These patients may be candidates for emergency surgery. Stimulant laxatives should also not be administered to patients with abdominal pain, particularly if the cause has not been determined.

Bleeding Disorder

Major:

Little Tummys Laxative Drops

The senna in Little Tummys Laxative Drops has a major potential interaction with Bleeding Disorder.

The use of stimulant laxatives is contraindicated in patients with anal or rectal fissures. These preparations may cause irritation, burning sensation, and proctitis.

Cardiomyopathy

Moderate:

encorafenib

Encorafenib has a moderate potential interaction with Cardiomyopathy.

Cardiomyopathy, manifesting as left ventricular dysfunction, has been reported with use of encorafenib in combination with binimetinib. The safety of encorafenib has not been established in patients with baseline ejection fraction below 50% or below the institutional lower limit of normal. Patients with cardiovascular risk factors should be closely monitored during therapy with encorafenib. Assess ejection fraction at baseline, 1 month after initiation, and every 2 to 3 months during therapy. Withhold, reduce dose, or permanently discontinue therapy based on severity of adverse cardiovascular effects.

Gastrointestinal Obstruction

Major:

Little Tummys Laxative Drops

The senna in Little Tummys Laxative Drops has a major potential interaction with Gastrointestinal Obstruction.

The use of laxatives is contraindicated in patients with intestinal obstruction disorders. Patients with intestinal obstruction disorders may need their underlying condition treated to correct the constipation. Some laxatives require reduction in the colon to their active form to be effective which may be a problem in patients with intestinal obstruction.

Heart Failure

Moderate:

encorafenib

Encorafenib has a moderate potential interaction with Heart Failure.

Encorafenib is associated with dose-dependent QTc interval prolongation in some patients. Monitor patients who already have or who are at significant risk of developing QTc prolongation, including patients with known long QT syndromes, clinically significant bradyarrhythmias, severe or uncontrolled heart failure and those taking other medicinal products associated with QT prolongation. Correct hypokalemia and hypomagnesemia prior to and during therapy with encorafenib. Withhold, reduce dose, or permanently discontinue for QTc > 500 ms.

Hypokalemia

Moderate:

encorafenib

Encorafenib has a moderate potential interaction with Hypokalemia.

Encorafenib is associated with dose-dependent QTc interval prolongation in some patients. Monitor patients who already have or who are at significant risk of developing QTc prolongation, including patients with known long QT syndromes, clinically significant bradyarrhythmias, severe or uncontrolled heart failure and those taking other medicinal products associated with QT prolongation. Correct hypokalemia and hypomagnesemia prior to and during therapy with encorafenib. Withhold, reduce dose, or permanently discontinue for QTc > 500 ms.

Inflammatory Bowel Disease

Major:

Little Tummys Laxative Drops

The senna in Little Tummys Laxative Drops has a major potential interaction with Inflammatory Bowel Disease.

The use of laxatives is contraindicated in patients with inflammatory bowel disease. Patients with inflammatory bowel disease may experience colonic perforation with use of stimulant laxatives.

Liver Disease

Moderate:

encorafenib

Encorafenib has a moderate potential interaction with Liver Disease.

A recommended dose of encorafenib has not been established for patients with moderate (Child-Pugh B) or severe (Child-Pugh C) hepatic impairment. Dose adjustment is not recommended in patients with mild hepatic impairment (Child-Pugh A).

Long QT Syndrome

Moderate:

encorafenib

Encorafenib has a moderate potential interaction with Long QT Syndrome.

Encorafenib is associated with dose-dependent QTc interval prolongation in some patients. Monitor patients who already have or who are at significant risk of developing QTc prolongation, including patients with known long QT syndromes, clinically significant bradyarrhythmias, severe or uncontrolled heart failure and those taking other medicinal products associated with QT prolongation. Correct hypokalemia and hypomagnesemia prior to and during therapy with encorafenib. Withhold, reduce dose, or permanently discontinue for QTc > 500 ms.

Magnesium Imbalance

Moderate:

encorafenib

Encorafenib has a moderate potential interaction with Magnesium Imbalance.

Encorafenib is associated with dose-dependent QTc interval prolongation in some patients. Monitor patients who already have or who are at significant risk of developing QTc prolongation, including patients with known long QT syndromes, clinically significant bradyarrhythmias, severe or uncontrolled heart failure and those taking other medicinal products associated with QT prolongation. Correct hypokalemia and hypomagnesemia prior to and during therapy with encorafenib. Withhold, reduce dose, or permanently discontinue for QTc > 500 ms.

Renal Dysfunction

Moderate:

encorafenib

Encorafenib has a moderate potential interaction with Renal Dysfunction.

A recommended dose of encorafenib has not been established for patients with severe renal impairment (CrCl < 30 mL/min). Caution and monitoring is advised if used on these patients. No dose adjustment is recommended for patients with mild to moderate renal impairment (CrCl 30 to < 90 mL/min).

Visual Defect/Disturbance

Moderate:

encorafenib

Encorafenib has a moderate potential interaction with Visual Defect/Disturbance.

Encorafenib, administered in combination with binimetinib, may cause uveitis, including iritis and iridocyclitis. Assess for visual symptoms at each visit and perform ophthalmologic evaluations at regular intervals, or as indicated, for new or worsening visual disturbances.

More resources

encorafenib

A total of 664 drugs are known to interact with encorafenib.

Little Tummys Laxative Drops

A total of 269 drugs are known to interact with Little Tummys Laxative Drops.

Drug Interaction Classification

These classifications are only a guideline. The relevance of a particular drug interaction to a specific individual is difficult to determine. Always consult your healthcare provider before starting or stopping any medication.
Major Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit.
Moderate Moderately clinically significant. Usually avoid combinations; use it only under special circumstances.
Minor Minimally clinically significant. Minimize risk; assess risk and consider an alternative drug, take steps to circumvent the interaction risk and/or institute a monitoring plan.
Unknown No interaction information available.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.