Drug interactions
Axitinib + Carbamazepine
Severity: Major
Axitinib and Carbamazepine: 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
Carbamazepine may substantially reduce axitinib exposure and potentially reduce its antitumor efficacy in renal cell carcinoma.
What this interaction means in plain words
Axitinib and Carbamazepine 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.
Axitinib belongs to Oncology; Carbamazepine belongs to Central Nervous System.
Why it happens
Carbamazepine induces CYP3A4, increasing metabolism of axitinib.
What to do
Avoid combining and choose a non-inducing antiseizure drug. If it cannot be avoided, monitor tumor response and tolerability, since axitinib dose adjustment may be needed.
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?
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Other interactions of Carbamazepine
- Artemether / lumefantrine + Carbamazepine Contraindicated
- Cabotegravir + Carbamazepine Contraindicated
- Carbamazepine + Delamanid Contraindicated
- Carbamazepine + Dienogest / estradiol valerate Contraindicated
- Carbamazepine + Doravirine Contraindicated
- Carbamazepine + Elbasvir / grazoprevir Contraindicated
Other interactions of Axitinib
- Amobarbital + Axitinib Major
- Apalutamide + Axitinib Major
- Atazanavir + Axitinib Major
- Axitinib + Clarithromycin Major
- Axitinib + Cobicistat Major
- Axitinib + Conivaptan Major
Frequently asked questions
Can I take Axitinib with Carbamazepine?
MediHelp rates the interaction as major. Axitinib and Carbamazepine 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. Carbamazepine may substantially reduce axitinib exposure and potentially reduce its antitumor efficacy in renal cell carcinoma.
How serious is the interaction between Axitinib and Carbamazepine?
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 combining and choose a non-inducing antiseizure drug. If it cannot be avoided, monitor tumor response and tolerability, since axitinib dose adjustment may be needed.
What other medicines interact with Carbamazepine?
MediHelp also lists interactions of Carbamazepine with, for example, Artemether / lumefantrine, Cabotegravir, Delamanid. The full list is on the Carbamazepine page.
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