Skip to main content

Drug Interactions between FemSeven Sequi Phase I and lorlatinib

This report displays the potential drug interactions for the following 2 drugs:

Edit list (add/remove drugs)

Interactions between your drugs

Major

estradiol lorlatinib

Applies to: FemSeven Sequi Phase I (estradiol) and lorlatinib

Consumer information for this interaction is not currently available.

ADDITIONAL CONTRACEPTION RECOMMENDED: Concomitant use with lorlatinib may decrease the plasma concentrations and efficacy of contraceptive hormones. In vitro studies show that lorlatinib is an inducer of CYP450 3A, the isoenzyme primarily responsible for the metabolic clearance of sex hormones. The use of hormonal contraceptives during treatment with lorlatinib can result in contraception failure. Lorlatinib can also cause embryo-fetal harm when administered to a pregnant woman.

MANAGEMENT: Hormonal contraceptives, including oral, injectable, transdermal, and implantable forms, may not be reliable during concomitant therapy with lorlatinib. Since the use of lorlatinib is likely associated with embryo-fetal harm, it is particularly important that patients not become pregnant during treatment. Therefore, hormonal contraceptives should not be used as the sole method of birth control in women of childbearing potential treated with lorlatinib. Women of childbearing potential should use a highly effective, non-hormonal method of contraception during treatment with lorlatinib and for 6 months after the last dose. Male patients with female partners of reproductive potential should use effective contraception during treatment with lorlatinib and for 3 months after the last dose.

Drug and food interactions

Major

lorlatinib food

Applies to: lorlatinib

Do not consume grapefruit or grapefruit juice during treatment with lorlatinib. Grapefruit juice can significantly increase the blood levels and effects of lorlatinib, which may result in a greater risk of side effects. 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. 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.

Minor

estradiol food

Applies to: FemSeven Sequi Phase I (estradiol)

Information for this minor interaction is available on the professional version.

Therapeutic duplication warnings

No warnings were found for your selected drugs.

Therapeutic duplication warnings are only returned when drugs within the same group exceed the recommended therapeutic duplication maximum.


Report options

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.