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Can you take Etravirine with Tepmetko?

1 drug interaction and 6 additional warnings found for the following 2 drugs:

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Drug interactions

Moderate drug interactions

Moderate:

etravirine tepotinib

Applies to: etravirine and Tepmetko (tepotinib)

Etravirine may increase the blood levels of tepotinib in some patients.

This may increase the risk of serious side effects such as lung problems and liver damage.

Talk to your doctor if you have any questions or concerns. Your doctor may be able to prescribe alternatives that do not interact, or you may need a dose adjustment or more frequent monitoring 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.

Food/lifestyle interactions

Moderate food/lifestyle interactions

Moderate:

etravirine Food/Lifestyle

Applies to: etravirine

Etravirine should always be administered following a meal. Food enhances the levels of etravirine in your body.

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:

tepotinib Food/Lifestyle

Applies to: Tepmetko (tepotinib)

Food helps with the absorption of tepotinib into the blood stream.

You should take this medication with food at approximately the same time each day.

Disease interactions

4 potential interactions Applies to: 3 conditions, including Liver Disease, Renal Dysfunction, and Pulmonary Impairment.

Liver Disease

Moderate:

etravirine

Etravirine has a moderate potential interaction with Liver Disease.

Etravirine is primarily metabolized by the liver. No dose adjustment of etravirine is required in patients with mild (Child-Pugh Class A) or moderate (Child-Pugh Class B) hepatic impairment. Caution is recommended when using this agent in patients with severe hepatic impairment (Child-Pugh Class C) as the pharmacokinetics of etravirine have not been evaluated in these patients.

Moderate:

Tepmetko

The tepotinib in Tepmetko has a moderate potential interaction with Liver Disease.

The use of tepotinib may cause hepatotoxicity, sometimes resulting in fatalities. No dosage modification is recommended in patients with mild (Child-Pugh A) or moderate (Child-Pugh B) liver dysfunction. Care should be exercised when using tepotinib in patients with severe liver dysfunction (Child-Pugh C) as its pharmacokinetics and safety have not been studied in this patient population. It is recommended to monitor liver function tests (including ALT, AST, and total bilirubin) prior to the start of therapy, every 2 weeks during the first 3 months of therapy, then once a month or as clinically indicated, with more frequent testing in patients who develop increased transaminases or bilirubin. Tepotinib should be withheld, the dose should be reduced, or therapy should be permanently discontinued based on the severity of the adverse reaction.

Pulmonary Impairment

Moderate:

Tepmetko

The tepotinib in Tepmetko has a moderate potential interaction with Pulmonary Impairment.

The use of tepotinib may cause interstitial lung disease (ILD)/pneumonitis, sometimes resulting in fatalities. Care should be exercised when using this drug in patients with preexisting pulmonary impairment. Tepotinib should be immediately withheld in patients with suspected ILD/pneumonitis and permanently discontinued if no other potential causes of ILD/pneumonitis are identified. Patients should be monitored for new/worsening pulmonary symptoms indicative of ILD/pneumonitis.

Renal Dysfunction

Moderate:

Tepmetko

The tepotinib in Tepmetko has a moderate potential interaction with Renal Dysfunction.

Care should be exercised when using tepotinib in patients with severe renal dysfunction (CrCl less than 30 mL/min) as the recommended dosage has not been established in this patient population. No dosage adjustment is recommended in patients with mild or moderate renal dysfunction (CrCl 30 to 89 mL/min).

More resources

etravirine

A total of 603 drugs are known to interact with etravirine.

Tepmetko

A total of 315 drugs are known to interact with Tepmetko.

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.