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Lorbrena® Tablets for ALK-Positive Non-Small Cell Lung Cancer
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What Lorbrena Is and How It Works
Lorbrena® (lorlatinib) is a prescription ALK tyrosine kinase inhibitor used in adults with ALK-positive metastatic non-small cell lung cancer. It blocks abnormal ALK signaling that drives cancer cell growth and can reach tumors in the brain. If you are comparing Lorlatinib cost without insurance, see the Pricing and Access section below. YouDrugstore is a licensed Canadian pharmacy in Manitoba. Pharmacists review prescriptions before dispensing. We provide US delivery from Canada.
This medicine is taken by mouth and is designed to help control ALK-driven disease, including in patients previously treated with other ALK inhibitors. It can be taken with or without food. Follow your prescriber’s directions and the official label when starting, adjusting, or stopping therapy.
Who It’s For
This treatment is indicated for adults with ALK-positive metastatic non-small cell lung cancer as confirmed by an FDA- or Health Canada-approved test. People with a history of severe heart rhythm problems, uncontrolled high cholesterol, or significant liver issues may require closer monitoring. Those with known hypersensitivity to lorlatinib or any tablet component should not use it. Tell your healthcare professional about all medical conditions, including pregnancy intentions and plans for breastfeeding.
Dosage and Usage
The typical starting schedule is 100 mg once daily, taken at the same time each day. Swallow tablets whole with water; do not split, crush, or chew. Take consistently with or without food. Avoid grapefruit or grapefruit juice as it can affect blood levels. If your prescriber adjusts your dose due to side effects or interactions, follow their instructions and the official label carefully. Keep a medication diary or phone reminder to support steady use.
Strengths and Forms
Lorlatinib tablets are commonly available in 25 mg and 100 mg strengths. Availability can vary by market and stocking. Your prescriber will choose the strength that matches your treatment plan.
Missed Dose and Timing
If you miss a dose, take the next dose at the regular time. Do not double up to make up for a missed dose. If you vomit after taking a dose, skip any replacement and continue with the next scheduled tablet. Try to keep a consistent routine to minimize missed doses over time.
Storage and Travel Basics
Store tablets at room temperature in the original container with the lid closed. Keep away from moisture, heat, and direct light, and out of reach of children and pets. For travel, carry the labeled bottle in your hand luggage with a copy of your prescription. Pack extra time for security checks and keep a simple dosing calendar. Do not store tablets in a hot car. If your trip spans time zones, ask your clinician how to keep a regular schedule that still fits your day.
Benefits
This therapy targets the ALK pathway that drives tumor growth in a subset of non-small cell lung cancers. It can help control disease in the body and has activity in the brain, an important consideration for many patients. Once-daily oral dosing supports consistent use at home without clinic administration. Your oncology team may monitor response with imaging, lab tests, and assessments over time.
Side Effects and Safety
- High cholesterol or triglycerides
- Swelling, including in the legs or face
- Weight gain
- Numbness or tingling in hands or feet
- Tiredness
- Mood, speech, or thinking changes
- Joint or muscle pain
- Elevated liver enzymes
Serious risks can include central nervous system effects, interstitial lung disease/pneumonitis, atrioventricular block, severe hyperlipidemia, and liver problems. Report new or worsening shortness of breath, chest pain, fainting, severe confusion, or yellowing of the skin or eyes right away. Your team may order regular blood work, including lipid panels and liver tests, and may check heart rhythm when indicated.
Drug Interactions and Cautions
Tell your prescriber about all medicines, vitamins, and herbal products you take. Strong CYP3A inducers (for example, rifampin or St. John’s wort) can change lorlatinib levels and are generally avoided. Strong CYP3A inhibitors may increase exposure. This medicine may reduce effectiveness of some CYP3A substrate drugs, including certain hormonal contraceptives; ask about reliable birth control options. Avoid grapefruit products. Do not start or stop medicines without discussing them with your healthcare professional.
What to Expect Over Time
Your clinician may review how you feel, check lab work for cholesterol and liver function, and schedule imaging as appropriate. Some side effects, such as lipid changes, may appear early and be managed by your care team. Because response varies, your prescriber will tailor follow-up and supportive care. Taking doses on schedule, tracking symptoms, and reporting concerns promptly can help your team optimize therapy.
Compare With Alternatives
Other ALK-targeted options exist for appropriate patients. For certain treatment settings, your clinician may discuss earlier-generation ALK inhibitors such as Xalkori. Tumors driven by different gene fusions may require a different approach, such as Vitrakvi for NTRK fusions, which is not a substitute for ALK-positive disease. Discuss goals, prior therapies, and tolerability with your care team. If you are evaluating Lorlatinib price relative to other targeted agents, compare label indications and monitoring needs alongside cost.
Pricing and Access
See current Lorbrena price on our product page and review typical cash-pay options. Many patients look at total treatment costs, including prescriber visits and lab monitoring. Because we source from Canada, Lorbrena Canadian pricing may differ from local pharmacy quotes. We offer transparent checkout and encrypted payment processing. Your order Ships from Canada to US after prescription verification by our pharmacy team.
To explore coverage, ask your insurer about tier placement, prior authorization, and specialty pharmacy requirements. If paying out of pocket, you can compare quantities and refill intervals to see what works for your budget. Contact our customer care team if you need help finding your prescription details for upload.
Availability and Substitutions
Supply can vary by strength and pack size. If this medicine is temporarily unavailable, your prescriber may recommend a different ALK-directed option or adjust your plan. We cannot guarantee restock dates. Your oncology team should confirm any switch is clinically appropriate for your specific situation.
Patient Suitability and Cost-Saving Tips
This therapy is intended for adults with confirmed ALK-positive metastatic non-small cell lung cancer. It may not suit patients with certain heart rhythm disorders or significant hepatic impairment without additional oversight. Share your full medication list and medical history with your prescriber before starting.
To manage expenses, consider multi-month fills when approved, which can reduce per-fill fees and help maintain continuity. Set refill reminders so you do not run out between visits. If paying cash, compare Lorbrena cash price by quantity and timing, then align refills with clinic appointments. Review lab schedules and coordinate imaging dates to minimize extra trips and time away from work.
Questions to Ask Your Clinician
- Is my tumor confirmed as ALK-positive with an approved test?
- What goals are realistic for this treatment in my case?
- How will we monitor cholesterol, liver tests, and heart rhythm?
- Which medicines or supplements should I stop or avoid?
- What symptoms should prompt urgent contact with the clinic?
- How will side effects be managed if they occur?
- What are my options if I cannot tolerate this medicine?
Authoritative Sources
Pfizer: Lorbrena Product InformationDailyMed: Lorlatinib LabelingHealth Canada DPD: Lorbrena
Explore related topics: learn more about ALK-positive lung cancer in our Alk Positive Lung condition page, browse our Cancer category, and read our articles on Lung Cancer Awareness and Respiratory Care Week.
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Can I take this medicine with food or on an empty stomach?
Yes. Lorlatinib can be taken with or without food. Try to take it the same way each day to keep a steady routine. Swallow the tablet whole with water and avoid grapefruit or grapefruit juice because it can affect drug levels. If nausea occurs, talk with your clinician about supportive options. Always follow the instructions on your prescription label and consult the official product information for details.
What monitoring is usually needed during treatment?
Your clinician may check lipid panels, liver enzymes, and perform periodic assessments for mood, speech, or thinking changes. Heart rhythm monitoring may be recommended in some cases. Imaging studies are scheduled according to your treatment plan. Report new shortness of breath, chest pain, fainting, severe confusion, or yellowing of the skin or eyes promptly. Your care team will decide how often these tests occur based on your health status and prior therapies.
Can I crush, split, or chew the tablets?
Do not crush, split, or chew tablets. Swallow each tablet whole with water. Altering tablets can change how the medicine is absorbed and may affect safety. If swallowing is difficult, talk to your healthcare professional about options. Store the bottle at room temperature, keep it dry, and out of reach of children. Follow the instructions provided with your prescription for handling and use.
How long might I need to stay on treatment?
Duration varies by individual response, tolerance, and clinical goals. Many patients continue therapy as long as it is working and side effects remain manageable. Your prescriber will reassess during follow-up visits, using imaging and lab tests when needed. Do not stop or change your schedule without consulting your care team. Refer to the official labeling for guidance on ongoing assessment and management.
Does this medicine interact with other drugs or supplements?
Yes. Strong CYP3A inducers or inhibitors can affect lorlatinib levels. Avoid St. John’s wort and grapefruit products. This treatment may reduce the effectiveness of some CYP3A substrate medicines, including certain hormonal contraceptives. Share a complete list of prescriptions, OTC products, and supplements with your prescriber so they can check for interactions and recommend safe alternatives.
Is a generic version available?
In many regions, only the brand is supplied. Availability of generic lorlatinib varies by market and over time. Your pharmacy can confirm what is stocked and whether substitutions are permitted under your prescription. If a change is suggested, your prescriber will decide if it is clinically appropriate. Check the product page for current supply status and options.
What should I do if I miss a dose or vomit after dosing?
If you miss a dose, take your next scheduled dose at the regular time. Do not take an extra tablet to make up for a missed or vomited dose. Keep a reminder system to support consistent use. If missed doses become frequent, contact your care team to discuss strategies that fit your routine. Always follow the official labeling and your prescriber’s guidance.
