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Interactions médicamenteuses

Carbamazepine + Lonafarnib

Gravité: Contre-indiquée

Carbamazepine and Lonafarnib: contraindicated interaction.

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Résumé

Carbamazepine strongly induces CYP3A4 and is expected to markedly reduce exposure to lonafarnib, a sensitive CYP3A substrate, compromising its efficacy. Labeling contraindicates strong or moderate CYP3A inducers.

Ce que signifie cette interaction, en termes simples

Carbamazepine and Lonafarnib 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.

Carbamazepine belongs to Central Nervous System; Lonafarnib belongs to Miscellaneous.

Niveau de preuve: Moderate

Pourquoi elle survient

Carbamazepine induces CYP3A4, increasing lonafarnib clearance.

Conduite à tenir

Avoid; use a non-inducing anticonvulsant for the duration of lonafarnib therapy.

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 Carbamazepine with Lonafarnib?

MediHelp rates the interaction as contraindicated. Carbamazepine and Lonafarnib 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. Carbamazepine strongly induces CYP3A4 and is expected to markedly reduce exposure to lonafarnib, a sensitive CYP3A substrate, compromising its efficacy. Labeling contraindicates strong or moderate CYP3A inducers.

How serious is the interaction between Carbamazepine and Lonafarnib?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid; use a non-inducing anticonvulsant for the duration of lonafarnib therapy.

What other medicines interact with Carbamazepine?

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

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