Decrease plasma conc w/ CYP3A4 inducers (eg, rifampicin, phenytoin, carbamazepine, barbiturates or herbal prep containing St. John's wort/
Hypericum perforatum). Increase plasma levels of gefitinib in patients w/ CYP2D6 poor metaboliser genotype. Reduced mean AUC w/ drugs that increase gastric pH (eg, ranitidine). Reports of INR elevations &/or bleeding events w/ warfarin. Increased plasma levels w/ CYP3A4 inhibitors; potent CYP2D6 inhibitors.