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Drug interactions

Oxcarbazepine + Theophylline

Severity: Moderate

Oxcarbazepine and Theophylline: 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

Oxcarbazepine is a weak to moderate enzyme inducer and may lower theophylline concentrations, though data on this pair are limited. Reduced bronchodilator control is possible.

What this interaction means in plain words

Oxcarbazepine and Theophylline 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.

Oxcarbazepine belongs to Central Nervous System; Theophylline belongs to Respiratory.

Evidence level: Low

Why it happens

Induction of hepatic cytochrome P450 enzymes increases theophylline clearance.

What to do

Monitor theophylline levels and clinical response when oxcarbazepine is started or stopped, and adjust the dose as 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 Oxcarbazepine with Theophylline?

MediHelp rates the interaction as moderate. Oxcarbazepine and Theophylline 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. Oxcarbazepine is a weak to moderate enzyme inducer and may lower theophylline concentrations, though data on this pair are limited. Reduced bronchodilator control is possible.

How serious is the interaction between Oxcarbazepine and Theophylline?

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 theophylline levels and clinical response when oxcarbazepine is started or stopped, and adjust the dose as needed.

What other medicines interact with Theophylline?

MediHelp also lists interactions of Theophylline with, for example, Riociguat, Adenosine, Apalutamide. The full list is on the Theophylline page.

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

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