Letrozole/ribociclib and Alcohol/Food Interactions
There are 2 alcohol/food/lifestyle interactions with letrozole / ribociclib.
Ribociclib Food
Moderate Food Interaction
Consumer information for this interaction is not currently available.
GENERALLY AVOID: Pomegranates and grapefruit may increase the systemic exposure to ribociclib. The proposed mechanism is inhibition of CYP450 3A4-mediated first-pass metabolism in the gut wall by certain compounds present in these fruits. Increased exposure to ribociclib may increase the risk of adverse effects such as infections, neutropenia, leukopenia, anemia, thrombocytopenia, anorexia, nausea, vomiting, diarrhea, stomatitis, alopecia, fatigue, headache, and abnormal liver function may be increased.
MANAGEMENT: Patients receiving ribociclib should avoid consumption of pomegranates or pomegranate juice and grapefruit or grapefruit juice during treatment.
References
- (2017) "Product Information. Kisqali (ribociclib)." Novartis Pharmaceuticals
Letrozole High Cholesterol (Hyperlipoproteinemia, Hypertriglyceridemia, Sitosterolemia)
Moderate Potential Hazard, Moderate plausibility
letrozole - cholesterol
In an adjuvant clinical trial hypercholesterolemia was reported in 52.3% of letrozole patients and 28.6% of tamoxifen patients. CTC grade 3-4 hypercholesterolemia was reported in 0.4% of letrozole patients and 0.1% of tamoxifen patients. Also in the adjuvant setting, an increase of >=1.5 X ULN in total cholesterol (generally non-fasting) was observed in patients on monotherapy who had baseline total serum cholesterol within the normal range (i.e., <=1.5 X ULN) in 151/1843 (8.2%) on letrozole vs 57/1840 (3.2%). Caution is recommended when prescribing letrozole to these patients. Consideration should be given to monitoring serum cholesterol.
References
- (2001) "Product Information. Femara (letrozole)." Novartis Pharmaceuticals
Letrozole/ribociclib drug interactions
There are 731 drug interactions with letrozole / ribociclib.
Letrozole/ribociclib disease interactions
There are 9 disease interactions with letrozole / ribociclib which include:
- liver disease
- Ribociclib – arrhythmias
- cholesterol
- osteoporosis
- lung toxicity
- cutaneous toxicity
- hepatic impairment
- neutropenia
- renal impairment
More about letrozole / ribociclib
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- During pregnancy
- Drug class: antineoplastic combinations
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Drug Interaction Classification
Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit. | |
Moderately clinically significant. Usually avoid combinations; use it only under special circumstances. | |
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. | |
No interaction information available. |
Further information
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.