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Drug interactions

Macimorelin + Oxcarbazepine

Severity: Moderate

Macimorelin and Oxcarbazepine: 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

Strong CYP3A4 inducers can lower macimorelin levels and produce falsely abnormal growth hormone stimulation test results. Oxcarbazepine is a weaker inducer but may have a similar effect. The diagnostic result may be unreliable.

What this interaction means in plain words

Macimorelin and Oxcarbazepine 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.

Macimorelin belongs to Endocrine; Oxcarbazepine belongs to Central Nervous System.

Evidence level: Low

Why it happens

CYP3A4 induction lowers macimorelin exposure and blunts the growth hormone response.

What to do

If clinically feasible, hold oxcarbazepine with adequate washout before testing, or interpret results cautiously.

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 Macimorelin with Oxcarbazepine?

MediHelp rates the interaction as moderate. Macimorelin and Oxcarbazepine 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. Strong CYP3A4 inducers can lower macimorelin levels and produce falsely abnormal growth hormone stimulation test results. Oxcarbazepine is a weaker inducer but may have a similar effect. The diagnostic result may be unreliable.

How serious is the interaction between Macimorelin and Oxcarbazepine?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: If clinically feasible, hold oxcarbazepine with adequate washout before testing, or interpret results cautiously.

What other medicines interact with Oxcarbazepine?

MediHelp also lists interactions of Oxcarbazepine with, for example, Cabotegravir, Rilpivirine, Artemether / lumefantrine. The full list is on the Oxcarbazepine page.

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