Fentanyl Fentanyl Lorlatinib
MajorLorlatinib can lower the amount of certain medicines in your blood by speeding up how fast the body clears them. These are medicines processed by the CYP3A4/5 enzymes and have a narrow safety margin, meaning even a small change in their level can matter. Fentanyl is one of them. Others include alfentanil, ciclosporin, dihydroergotamine, ergotamine, hormonal contraceptives, pimozide, quinidine, sirolimus and tacrolimus. Taking lorlatinib (Lorbrexen) with fentanyl may leave you with less fentanyl than intended, so the pain relief may be weaker. It is best to avoid taking them together.
These medicines can affect each other in a serious way. Do not start taking them together unless your doctor has said it is OK. If you already take both, do not stop either one on your own: speak to your doctor or pharmacist soon.