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Drug interactions

Avapritinib + Eslicarbazepine

Severity: Major

Avapritinib and Eslicarbazepine: major interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Avapritinib is a CYP3A4 substrate, and strong or moderate inducers reduce exposure, potentially compromising efficacy. Labeling advises avoiding coadministration with strong and moderate inducers.

What this interaction means in plain words

Avapritinib and Eslicarbazepine can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.

Avapritinib belongs to Oncology; Eslicarbazepine belongs to Central Nervous System.

Evidence level: Moderate

Why it happens

Eslicarbazepine induces CYP3A4, accelerating avapritinib clearance.

What to do

Avoid the combination and choose a non-inducing anticonvulsant; if unavoidable, monitor tumor response closely.

What to ask your pharmacist

  • Does the benefit of taking both outweigh the risk in my case?
  • Do I need any blood test, ECG or other check while on both?
  • What early warning signs should I watch for, and what should I do if they appear?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Avapritinib with Eslicarbazepine?

MediHelp rates the interaction as major. Avapritinib and Eslicarbazepine can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Avapritinib is a CYP3A4 substrate, and strong or moderate inducers reduce exposure, potentially compromising efficacy. Labeling advises avoiding coadministration with strong and moderate inducers.

How serious is the interaction between Avapritinib and Eslicarbazepine?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination and choose a non-inducing anticonvulsant; if unavoidable, monitor tumor response closely.

What other medicines interact with Eslicarbazepine?

MediHelp also lists interactions of Eslicarbazepine with, for example, Mavacamten, Rilpivirine, Artemether / lumefantrine. The full list is on the Eslicarbazepine page.

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