Drug interactions
Benzhydrocodone / acetaminophen + Eslicarbazepine
Severity: Major
Benzhydrocodone / acetaminophen 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
Eslicarbazepine may lower hydrocodone exposure from benzhydrocodone, reducing analgesia. Stopping eslicarbazepine later can raise hydrocodone levels and cause respiratory depression.
What this interaction means in plain words
Benzhydrocodone / acetaminophen 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.
Why it happens
CYP3A4 induction increases hydrocodone metabolism, and withdrawal of the inducer reverses this.
What to do
Monitor pain control and sedation, and reduce the opioid dose with close respiratory monitoring when eslicarbazepine is stopped.
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 Eslicarbazepine
- Eslicarbazepine + Mavacamten Contraindicated
- Eslicarbazepine + Rilpivirine Contraindicated
- Artemether / lumefantrine + Eslicarbazepine Major
- Avapritinib + Eslicarbazepine Major
- Bedaquiline + Eslicarbazepine Major
- Bosutinib + Eslicarbazepine Major
Frequently asked questions
Can I take Benzhydrocodone / acetaminophen with Eslicarbazepine?
MediHelp rates the interaction as major. Benzhydrocodone / acetaminophen 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. Eslicarbazepine may lower hydrocodone exposure from benzhydrocodone, reducing analgesia. Stopping eslicarbazepine later can raise hydrocodone levels and cause respiratory depression.
How serious is the interaction between Benzhydrocodone / acetaminophen 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: Monitor pain control and sedation, and reduce the opioid dose with close respiratory monitoring when eslicarbazepine is stopped.
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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