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Interactions médicamenteuses

Cabotegravir + Oxcarbazepine

Gravité: Contre-indiquée

Cabotegravir and Oxcarbazepine: contraindicated interaction.

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Résumé

Oxcarbazepine may significantly lower cabotegravir concentrations, particularly with long-acting injectable therapy. This can cause loss of viral suppression and integrase resistance.

Ce que signifie cette interaction, en termes simples

Cabotegravir and Oxcarbazepine are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.

Cabotegravir belongs to Anti Virals; Oxcarbazepine belongs to Central Nervous System.

Niveau de preuve: Moderate

Pourquoi elle survient

Oxcarbazepine induces UGT1A1 (and possibly UGT1A9), increasing cabotegravir glucuronidation.

Conduite à tenir

Do not coadminister; use a non-inducing antiseizure drug such as levetiracetam if possible. Otherwise select a different antiretroviral regimen.

Questions à poser à votre pharmacien

  • Is there an alternative to one of these two medicines for me?
  • If both are essential, who is monitoring me and how often?
  • Which symptoms mean I should stop and seek help straight away?

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 Cabotegravir with Oxcarbazepine?

MediHelp rates the interaction as contraindicated. Cabotegravir and Oxcarbazepine are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Oxcarbazepine may significantly lower cabotegravir concentrations, particularly with long-acting injectable therapy. This can cause loss of viral suppression and integrase resistance.

How serious is the interaction between Cabotegravir and Oxcarbazepine?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not coadminister; use a non-inducing antiseizure drug such as levetiracetam if possible. Otherwise select a different antiretroviral regimen.

What other medicines interact with Cabotegravir?

MediHelp also lists interactions of Cabotegravir with, for example, Apalutamide, Carbamazepine, Phenobarbitone. The full list is on the Cabotegravir page.

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