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Drug interactions

Eslicarbazepine + Ivabradine

Severity: Moderate

Eslicarbazepine and Ivabradine: 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

Eslicarbazepine is a weak-to-moderate CYP3A4 inducer and may reduce ivabradine concentrations, possibly diminishing heart rate control.

What this interaction means in plain words

Eslicarbazepine and Ivabradine 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.

Eslicarbazepine belongs to Central Nervous System; Ivabradine belongs to Cardiovascular.

Evidence level: Low

Why it happens

CYP3A4 induction by eslicarbazepine increases ivabradine metabolism.

What to do

Monitor heart rate and titrate ivabradine accordingly.

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 Eslicarbazepine with Ivabradine?

MediHelp rates the interaction as moderate. Eslicarbazepine and Ivabradine 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. Eslicarbazepine is a weak-to-moderate CYP3A4 inducer and may reduce ivabradine concentrations, possibly diminishing heart rate control.

How serious is the interaction between Eslicarbazepine and Ivabradine?

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 heart rate and titrate ivabradine accordingly.

What other medicines interact with Ivabradine?

MediHelp also lists interactions of Ivabradine with, for example, Atazanavir, Clarithromycin, Cobicistat. The full list is on the Ivabradine 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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