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Interactions médicamenteuses

Activated charcoal + Methotrexate

Gravité: Modérée

Activated charcoal and Methotrexate: moderate interaction.

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Résumé

Activated charcoal binds methotrexate in the gut and can interrupt its enterohepatic recirculation, lowering its levels. This reduces the effect of therapeutic doses but is used deliberately in overdose.

Ce que signifie cette interaction, en termes simples

Activated charcoal and Methotrexate 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.

Activated charcoal belongs to Gastrointestinal Tract; Methotrexate belongs to Oncology.

Niveau de preuve: Moderate

Pourquoi elle survient

Adsorption of methotrexate in the gastrointestinal tract reduces absorption and enterohepatic reabsorption.

Conduite à tenir

Separate charcoal from oral methotrexate doses unless it is being given for overdose. In overdose, consider repeated charcoal alongside leucovorin and supportive care.

Questions à poser à votre pharmacien

  • 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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Questions fréquentes

Can I take Activated charcoal with Methotrexate?

MediHelp rates the interaction as moderate. Activated charcoal and Methotrexate 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. Activated charcoal binds methotrexate in the gut and can interrupt its enterohepatic recirculation, lowering its levels. This reduces the effect of therapeutic doses but is used deliberately in overdose.

How serious is the interaction between Activated charcoal and Methotrexate?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Separate charcoal from oral methotrexate doses unless it is being given for overdose. In overdose, consider repeated charcoal alongside leucovorin and supportive care.

What other medicines interact with Methotrexate?

MediHelp also lists interactions of Methotrexate with, for example, Acitretin, Adenovirus types 4 and 7 live, Influenza virus vaccine quadrivalent intranasal. The full list is on the Methotrexate page.

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