Drug interactions
Blinatumomab + Carbamazepine
Severity: Moderate
Blinatumomab and Carbamazepine: moderate 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
Blinatumomab causes a transient cytokine release that can suppress CYP enzymes, potentially raising carbamazepine concentrations and toxicity risk early in treatment.
What this interaction means in plain words
Blinatumomab and Carbamazepine can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.
Blinatumomab belongs to Oncology; Carbamazepine belongs to Central Nervous System.
Why it happens
Cytokine release suppresses CYP450 activity, reducing carbamazepine metabolism.
What to do
Monitor carbamazepine levels and toxicity signs (dizziness, ataxia, diplopia) during the first days of each cycle and adjust the dose if needed.
What to ask your pharmacist
- Should I take them at different times of day?
- Does the dose of either medicine need to change?
- Is there anything I should avoid, such as alcohol or certain foods, while on both?
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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 Blinatumomab
- Blinatumomab + Cyclosporin Moderate
- Blinatumomab + Ethosuximide Moderate
- Blinatumomab + Phenytoin Moderate
- Blinatumomab + Quinidine Moderate
- Blinatumomab + Quinine Moderate
- Blinatumomab + Siponimod Moderate
Frequently asked questions
Can I take Blinatumomab with Carbamazepine?
MediHelp rates the interaction as moderate. Blinatumomab and Carbamazepine can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Blinatumomab causes a transient cytokine release that can suppress CYP enzymes, potentially raising carbamazepine concentrations and toxicity risk early in treatment.
How serious is the interaction between Blinatumomab and Carbamazepine?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor carbamazepine levels and toxicity signs (dizziness, ataxia, diplopia) during the first days of each cycle and adjust the dose if 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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