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Crizotinib

Tyrosine Kinase Inhibitor · Antineoplastic

Tyrosine Kinase InhibitorAntineoplasticATC null
CDSCO approvedSchedule H
EXCRETION
not curated
INTERACTIONS
12 major
SEVERE in our sources
PREGNANCY
Manufacturer advises avoid unless potential
FDA category + note
Top interactionssee all 12
  • AbarelixSevereDatabaseDDInter
  • AbirateroneSevereDatabaseDDInter
  • AcalabrutinibSevereDatabaseDDInter
  • AdenosineSevereDatabaseDDInter

Mechanism

Crizotinib is a first-generation inhibitor of anaplastic lymphoma kinase (ALK).

Indications

ALK-positive advanced non-small cell lung cancerlung NSCLC (ALK translocation)locally advanced or metastatic NSCLC harboring ROS1 or ALK gene rearrangements

Dosing

Adult
l INDICATIONS AND DOSE Anaplastic lymphoma kinase (ALK)-positive advanced non-small cell lung cancer previously treated with crizotinib (specialist use only) ▶ BY MOUTH Adult: Initially 90 mg once daily for 7 days, then increased to 180 mg once daily, for dose adjustments due to dose interruption or side-effects—consult product literature DOSE ADJUSTMENTS DUE TO INTERACTIONS ▶ Manufacturer advises…
Renal adjustment
The typical twice daily dosing is reduced to once daily in patients with severe renal impairment and a creatinine clearance below 30 mL/min.

Pharmacokinetics

Half-life
42 h (terminal)
Metabolism
CYP3A4/5 (predominantly)

Side effects

Common
nauseadiarrheavomitinghepatic toxicityrespiratory toxicityocular toxicityneuropathy
Serious
  • QT prolongation
  • bradycardia

Pregnancy & lactation

Pregnancy

Manufacturer advises avoid unless potential

Drug interactions

Abarelix
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Abiraterone
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Acalabrutinib
Severe
Database

Drug interaction classified as: metabolism

Source: DDInter

Adenosine
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Alfentanil
Severe
Database

Drug interaction classified as: metabolism

Source: DDInter

Alfuzosin
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Alimemazine
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Amiodarone
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Amisulpride
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Amitriptyline
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Amoxapine
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Amprenavir
Severe
Database

Drug interaction classified as: metabolism

Source: DDInter

Related guidelines

Other Tyrosine Kinase Inhibitor drugs

Ask House about Crizotinib

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Sources: Goodman & Gilman 14e, BNF·Verified: 2026-05-13 · House clinical team