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Drug interactions

Cenobamate + Medroxyprogesterone

Severity: Moderate

Cenobamate and Medroxyprogesterone: 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 medroxyprogesterone exposure. This could reduce efficacy in contraception or endometrial protection.

What this interaction means in plain words

Cenobamate and Medroxyprogesterone 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; Medroxyprogesterone belongs to Endocrine.

Evidence level: Moderate

Why it happens

Cenobamate induces CYP3A4, increasing medroxyprogesterone metabolism.

What to do

Monitor for loss of effect and consider additional non-hormonal contraception. Adjust the dose if clinically 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?

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 Medroxyprogesterone?

MediHelp rates the interaction as moderate. Cenobamate and Medroxyprogesterone 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 medroxyprogesterone exposure. This could reduce efficacy in contraception or endometrial protection.

How serious is the interaction between Cenobamate and Medroxyprogesterone?

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 for loss of effect and consider additional non-hormonal contraception. Adjust the dose if clinically needed.

What other medicines interact with Medroxyprogesterone?

MediHelp also lists interactions of Medroxyprogesterone with, for example, Bosentan, Brigatinib, Eslicarbazepine. The full list is on the Medroxyprogesterone 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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