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Lorbrena® Tablets for ALK-Positive Non-Small Cell Lung Cancer
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Price range: $4,147.99 through $12,405.99
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Lorbrena® is a prescription kinase inhibitor for ALK‑positive metastatic non‑small cell lung cancer. This page helps you understand safe use, compare options, and plan access with US delivery from Canada. Many people search for Lorbrena price without insurance to plan treatment costs.
What Lorbrena Is and How It Works
This medicine belongs to ALK tyrosine kinase inhibitors. It blocks abnormal ALK signaling that drives certain lung cancers. The treatment can also reach the central nervous system, which may help when disease involves the brain. Lorlatinib Pfizer is the active ingredient described on official labeling.
Border Free Health connects U.S. patients with licensed Canadian partner pharmacies; prescriptions are verified with prescribers before dispensing.
By inhibiting ALK activity, the therapy may slow cancer cell growth. It is taken by mouth and used long term when tolerated. Your prescriber confirms ALK positivity with an approved diagnostic test before starting. For general background on lung health, see World Lung Day.
Who It’s For
This therapy is indicated for adults with ALK‑positive metastatic non‑small cell lung cancer. It may be used as an initial option or after certain other ALK inhibitors, based on the current label. People with known hypersensitivity to ingredients should avoid it. Those with significant heart conduction issues, severe liver problems, or uncontrolled high lipids may require closer monitoring.
Discuss all medical history with your healthcare professional. Tell them about heart rhythm concerns, seizure history, mental health conditions, and any planned pregnancy or breastfeeding. For condition context, visit the category page for ALK Positive NSCLC.
Dosage and Usage
The typical starting dose is Lorlatinib 100mg taken once daily. Tablets may be taken with or without food. Swallow tablets whole with water. Do not crush, chew, or split unless your prescriber provides specific instructions from the official label.
Take the dose at the same time each day to support consistent exposure. If side effects occur, prescribers may adjust dosing per the label. Avoid grapefruit or grapefruit juice, because it can change medicine levels. If another clinician prescribes new medicines, share that you are on this treatment to check for interactions.
Some patients need regular blood tests to monitor cholesterol and liver enzymes. Your team may also check heart rhythm and blood pressure. Keep follow‑up appointments so monitoring can guide safe ongoing use. For broader oncology content, you can browse our Cancer category.
Strengths and Forms
Tablets are commonly available in two strengths. Many labels list 25 mg and 100 mg presentations. Availability may vary by market and timing.
We carry prescription tablets when in stock. Lorbrena 25mg tablets and the higher strength may be offered depending on supply. Packaging and pill appearance can differ by batch.
Missed Dose and Timing
If you miss a dose, take it as soon as you remember the same day. If it is close to the time for the next dose, skip the missed one and take the next dose as scheduled. Do not take two doses at once to make up for a missed tablet. If you vomit a dose, do not repeat it; take the next dose at the usual time. Follow the official label or your prescriber’s guidance for specific instructions.
Storage and Travel Basics
Store tablets at room temperature in a dry place. Keep the bottle tightly closed and away from moisture and excessive heat. Always keep out of reach of children and pets. Do not store in a bathroom. Use the original labeled container for identification.
If you Buy Lorlatinib for an extended trip, carry it in your hand luggage. Bring a copy of your prescription and a medication list. Plan dosing around time zone changes by keeping to a consistent daily schedule. During security screening, keep medicines with you, not in checked baggage. For country‑of‑origin details on certain items, visit Canada.
Pen Handling and Sharps Disposal
This product is supplied as tablets, so no pen handling or sharps disposal is required.
Benefits
This treatment offers an oral option within targeted ALK therapies. It may help control disease in the chest and in the central nervous system. Taking a once‑daily tablet can be convenient for many adults. Clinicians may individualize use based on response and tolerability.
Side Effects and Safety
- Common effects: swelling, weight gain, fatigue, diarrhea, cough
- Neurologic changes: mood or cognitive effects, speech or memory changes
- Numbness or tingling: peripheral neuropathy symptoms
- Visual effects: blurred vision or visual disturbances
- Lipid changes: increased cholesterol or triglycerides
- Lab changes: liver enzyme elevations may occur
Serious risks can include central nervous system effects, seizures, interstitial lung disease or pneumonitis, heart conduction abnormalities, severe hyperlipidemia, and hepatotoxicity. Call your prescriber urgently if you notice chest pain, severe shortness of breath, fainting, severe confusion, or yellowing of the skin or eyes. Do not stop or change your dose without medical guidance.
Drug Interactions and Cautions
Strong CYP3A inducers can lower levels and reduce effectiveness; avoid agents such as certain anticonvulsants or rifampin when possible. Potent CYP3A inhibitors may increase exposure. Some drugs can also affect heart rate or conduction, which may compound risks. Always provide a complete medication list, including over‑the‑counter items and supplements.
Avoid grapefruit products. Patients of reproductive potential should discuss effective contraception, because fetal harm is possible. Do not breastfeed during therapy and for an appropriate period after the last dose per label guidance. People with significant liver disease may require extra monitoring.
What to Expect Over Time
Many patients take the medicine daily for an extended period if tolerated. Your care team will track how you feel, review side effects, and evaluate imaging and lab work. Lipid levels often change early, and prescribers may add treatments to manage cholesterol or triglycerides. Adherence matters; setting phone reminders and linking dosing to a routine can help consistency.
If side effects develop, clinicians may adjust dosing by label steps. The goal is to balance tolerability with disease control. Your care team will outline realistic expectations based on your scan results and overall health. For additional prevention content, see Prevent Cancer Tips and Breast Cancer Awareness.
Compare With Alternatives
Several ALK‑targeted options exist, and selection depends on prior therapies and tolerability. Crizotinib is another ALK inhibitor; see Xalkori for details. Other targeted drugs may be appropriate when different gene changes drive the cancer. For certain NTRK gene fusions, your prescriber may consider Vitrakvi. Your oncology team will tailor therapy to your mutation profile and treatment history.
Pricing and Access
Many patients explore lorlatinib pricing to plan therapy budgets. We provide Lorbrena Canadian pricing information for prescribed strengths when stocked. You can Order Lorbrena online after submitting a valid prescription, and our team coordinates US delivery from Canada for eligible orders. If you use self‑pay lorlatinib, ask your prescriber about multi‑month fills to reduce per‑fill fees.
Costs vary by strength, quantity, and supply. The price of lorlatinib may differ between fills due to market changes. We also list current offers on our Promotions page when available. For awareness and education, see our World Lung Day article as well.
Availability and Substitutions
Supply can vary. If an item is unavailable, your prescriber may recommend a therapeutic alternative from the same class or a different approach. We do not guarantee restock dates. If the medicine is temporarily out of stock, your care team can guide next steps for maintaining treatment continuity.
Patient Suitability and Cost-Saving Tips
This medicine may fit adults with confirmed ALK‑positive metastatic NSCLC who can follow daily dosing and monitoring. People with severe uncontrolled cholesterol issues, serious heart rhythm conditions, or significant liver disease may need extra caution. Pregnancy and breastfeeding are not recommended during treatment.
- Multi‑month fills: fewer refills, potential service fee savings
- Refill reminders: reduce missed doses and delays
- Travel planning: request refills before trips
- Generic checks: ask if any new options exist
- Monitoring: manage lipids early to support adherence
When discussing budgets, consider the cost of Lorbrena, clinic visits, and labs. Some patients use pay out of pocket for lorlatinib when benefits do not apply. Your oncology team or pharmacist may suggest support resources. We use encrypted checkout to protect your information.
Questions to Ask Your Clinician
- Is my cancer confirmed ALK‑positive with an approved test?
- How will we monitor cholesterol, liver enzymes, and heart rhythm?
- What signs mean I should contact the clinic urgently?
- Which medicines, foods, or supplements should I avoid?
- If side effects occur, how are dose adjustments handled under the label?
- How do we plan for travel and on‑time refills?
Authoritative Sources
Health Canada Drug Product Database
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How is this ALK inhibitor different from earlier options?
It targets the ALK pathway and has activity in the central nervous system, which can be important when cancer has spread to the brain. Some patients use it after earlier ALK inhibitors, while others start with it based on the label and clinical judgment. Your oncologist considers prior therapies, tolerability, and mutation testing before selecting the most appropriate option for you.
Can I drink grapefruit juice while taking this medicine?
No. Grapefruit and grapefruit juice can change drug metabolism and alter levels in your body. That shift may increase the chance of side effects or reduce effectiveness. Avoid grapefruit products while using this therapy. Tell your clinician about any other foods or supplements you take regularly, so they can confirm they are compatible with your treatment plan.
What monitoring will I need during treatment?
Your care team will likely check cholesterol and triglycerides, liver enzymes, blood pressure, and heart rhythm. They will also ask about any neurologic or mood changes, and may schedule imaging to assess response. Monitoring frequency varies by individual needs and label guidance. Keep all appointments and report new or worsening symptoms promptly to your healthcare professional.
What should I do if I miss a dose or vomit after dosing?
If you miss a dose, take it when remembered the same day unless it is close to the next dose. Then skip the missed dose and resume your schedule. Do not double up doses. If you vomit a dose, do not re‑dose; take the next dose at the regular time. Always follow the official label and your prescriber’s instructions for your specific situation.
Are there important drug interactions to know about?
Strong CYP3A inducers can lower drug levels, and strong CYP3A inhibitors can raise exposure. Some medicines may also slow heart conduction or interact through transport proteins. Share a complete list of all prescription and over‑the‑counter medicines, vitamins, and herbal products with your clinician to check for interactions and to plan safe use.
Can I take this therapy during pregnancy or while breastfeeding?
This treatment can harm an unborn baby. Patients who can become pregnant should use effective contraception during therapy and for a time after the last dose as directed on the label. Do not breastfeed during treatment and for the recommended period after the final dose. Discuss family planning with your prescriber before starting therapy.
How can I estimate out‑of‑pocket costs for my regimen?
Total costs include the medicine, clinic visits, lab work, and supportive care. You can review lorlatinib pricing on our site for available strengths and quantities. Ask your oncology team if multi‑month fills make sense for you. They can also help identify assistance programs or alternatives if coverage changes.
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