Midostaurin and Suzetrigine: Interaction Details
AI-assisted, pharmacist-reviewed · Source data updated Aug 8, 2026 · Sources: FDA labeling, DDInter 2.0, cited literature
Midostaurin
Suzetrigine
How we grade severity & evidence
Severity levels
- Contraindicated: These should generally not be used together.
- Major: Potentially serious — often needs a change or close monitoring.
- Moderate: Can be significant — usually manageable with monitoring.
- Minor: Usually limited clinical impact.
Evidence grades
- Established: Well documented — supported by controlled studies or strong clinical data.
- Probable: Good supporting evidence, though not definitively proven.
- Suspected: Some evidence suggests this interaction, but it is not well established.
- Possible: Limited or conflicting evidence; the interaction may occur.
- Theoretical: Predicted from the drugs' pharmacology; not yet confirmed in people.
Ratings come from the documented interaction literature and are reviewed by a pharmacist. They describe the documented risk of the combination, not what will necessarily happen to you — your dose, timing, and health picture all matter.
What happens
Reduced sensitive CYP3A substrate with NTI exposure and reduced efficacy of sensitive CYP3A substrate with NTI
Interaction Deep Dive
Concomitant use of suzetrigine with sensitive CYP3A substrates may reduce sensitive CYP3A substrates exposure which may also reduce the efficacy of these substrates. Dosage adjustment of the concomitant CYP3A substrates may be required when initiating or discontinuing suzetrigine. Discontinuation of suzetrigine may increase the exposure of sensitive CYP3A substrates with NTI1.
Why it happens (mechanism)
Induction of CYP3A-mediated metabolism by suzetrigine
Literature reports
1 report — tap to read
a) In a drug interaction study, coadministration of suzetrigine 50 mg every 12 hours and midazolam (sensitive CYP3A substrate), at steady state decreased the geometric mean (90% CI) AUC (0 to inf) of midazolam by 48% (43-53%) and Cmax by 37% (27-45%) 1.
Common questions
Can I take Midostaurin and Suzetrigine together?
Reduced sensitive CYP3A substrate with NTI exposure and reduced efficacy of sensitive CYP3A substrate with NTI Always confirm with your pharmacist or prescriber before making any change.
How serious is the Midostaurin and Suzetrigine interaction?
It is rated major. Potentially serious — often needs a change or close monitoring.
How quickly could this interaction happen?
The documented onset is "unspecified". The timing of this interaction is not well characterized.
How strong is the evidence for this interaction?
The evidence is graded "theoretical". Predicted from the drugs' pharmacology; not yet confirmed in people.
Questions for your pharmacist
- Does my dose of Midostaurin or Suzetrigine need adjusting while I take them together?
- What symptoms should prompt me to call you or my prescriber right away?
- Does the timing of my doses matter for this combination?
- Is there a safer alternative to one of these medications for me?
References (1)
- Product Information: JOURNAVX oral tablets, suzetrigine oral tablets. Vertex Pharmaceuticals Inc (per FDA), Boston, MA, 2025. DailyMed
Keep reading about Midostaurin
Keep reading about Suzetrigine
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