Eslicarbazepine and Larotrectinib interaction

Eslicarbazepine and Larotrectinib: the Larotrectinib prescribing label flags this combination with the strongest language, such as a contraindication, a boxed warning, or an instruction to avoid it.

Major

Do not combine without a prescriber's guidance. The label language below is the strongest FDA uses.

What the FDA labels say

From the Larotrectinib (VITRAKVI) label · effective 2026-05-22

Major

Strong CYP3A4 Inducers: Avoid coadministration of strong CYP3A4 inducers with VITRAKVI.

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Major

Avoid coadministration of VITRAKVI with strong CYP3A4 inducers, including St.

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Major

If coadministration of strong CYP3A4 inducers cannot be avoided, modify VITRAKVI dose as recommended.

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Moderate

Moderate CYP3A4 Inducers: Increase the VITRAKVI dose.

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Moderate

Strong and Moderate CYP3A4 Inducers Coadministration of VITRAKVI with a strong or moderate CYP3A4 inducer may decrease larotrectinib plasma concentrations, which may decrease the efficacy of VITRAKVI [see Clinical Pharmacology (12.3) ].

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Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.