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Drug interactions

Cenobamate + Everolimus

Severity: Moderate

Cenobamate and Everolimus: 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 can lower everolimus exposure, which may compromise antitumor, antiseizure or transplant efficacy.

What this interaction means in plain words

Cenobamate and Everolimus 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; Everolimus belongs to Oncology.

Evidence level: Moderate

Why it happens

Cenobamate induces CYP3A4, accelerating everolimus clearance.

What to do

Monitor everolimus trough concentrations and clinical response, and increase the everolimus dose as needed. Reassess the dose if cenobamate is stopped.

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 Everolimus?

MediHelp rates the interaction as moderate. Cenobamate and Everolimus 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 can lower everolimus exposure, which may compromise antitumor, antiseizure or transplant efficacy.

How serious is the interaction between Cenobamate and Everolimus?

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 everolimus trough concentrations and clinical response, and increase the everolimus dose as needed. Reassess the dose if cenobamate is stopped.

What other medicines interact with Everolimus?

MediHelp also lists interactions of Everolimus with, for example, Bcg vaccine live, Influenza virus vaccine quadrivalent intranasal, Levoketoconazole. The full list is on the Everolimus page.

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

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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