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Drug interactions

Cenobamate + Deflazacort

Severity: Moderate

Cenobamate and Deflazacort: 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

Cenobamate induces CYP3A4 and may lower exposure to the active metabolite of deflazacort. Reduced steroid effect is possible.

What this interaction means in plain words

Cenobamate and Deflazacort 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.

Cenobamate belongs to Central Nervous System; Deflazacort belongs to Miscellaneous.

Evidence level: Moderate

Why it happens

Cenobamate induces CYP3A4, increasing metabolic clearance of deflazacort's active metabolite.

What to do

Monitor clinical response and increase the deflazacort dose if needed, with reassessment if cenobamate is discontinued.

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 Cenobamate with Deflazacort?

MediHelp rates the interaction as moderate. Cenobamate and Deflazacort 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. Cenobamate induces CYP3A4 and may lower exposure to the active metabolite of deflazacort. Reduced steroid effect is possible.

How serious is the interaction between Cenobamate and Deflazacort?

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 clinical response and increase the deflazacort dose if needed, with reassessment if cenobamate is discontinued.

What other medicines interact with Deflazacort?

MediHelp also lists interactions of Deflazacort with, for example, Adenovirus types 4 and 7 live, Bcg vaccine live, Influenza virus vaccine quadrivalent intranasal. The full list is on the Deflazacort page.

Full monographs, dosing and an interaction checker in the MediHelp app

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