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Drug interactions

Cabozantinib + Eslicarbazepine

Severity: Moderate

Cabozantinib and Eslicarbazepine: 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

Cabozantinib is metabolized by CYP3A4, and strong inducers reduce its exposure. Eslicarbazepine is weaker, but reduced efficacy is possible.

What this interaction means in plain words

Cabozantinib and Eslicarbazepine 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.

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

Evidence level: Low

Why it happens

Eslicarbazepine induces CYP3A4, increasing cabozantinib metabolism.

What to do

Prefer a non-inducing anticonvulsant and monitor tumor response; dose increases are labeled for strong inducers only.

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?

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 Cabozantinib with Eslicarbazepine?

MediHelp rates the interaction as moderate. Cabozantinib and Eslicarbazepine 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. Cabozantinib is metabolized by CYP3A4, and strong inducers reduce its exposure. Eslicarbazepine is weaker, but reduced efficacy is possible.

How serious is the interaction between Cabozantinib and Eslicarbazepine?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Prefer a non-inducing anticonvulsant and monitor tumor response; dose increases are labeled for strong inducers only.

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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