Interactions médicamenteuses
Cenobamate + Levonorgestrel
Gravité: Majeure
Cenobamate and Levonorgestrel: major interaction.
Dernière mise à jour
Réservé aux professionnels de santé — à titre de référence uniquement. Cette page est un bref résumé, pas un avis médical, et ne remplace ni la notice officielle ni le jugement clinique. Vérifiez toujours avant de prescrire ou de délivrer.
Le contenu clinique de cette page n'est disponible qu'en anglais.
Résumé
Cenobamate induces CYP3A4 and may lower systemic levonorgestrel, reducing the reliability of oral or emergency levonorgestrel contraception. The local effect of an intrauterine system is less affected.
Ce que signifie cette interaction, en termes simples
Cenobamate and Levonorgestrel can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.
Cenobamate belongs to Central Nervous System; Levonorgestrel belongs to Endocrine.
Pourquoi elle survient
CYP3A4 induction by cenobamate increases levonorgestrel metabolism.
Conduite à tenir
Advise additional or alternative non-hormonal contraception; for emergency contraception prefer a copper IUD, or consider a higher levonorgestrel dose if guidance supports it.
Questions à poser à votre pharmacien
- Does the benefit of taking both outweigh the risk in my case?
- Do I need any blood test, ECG or other check while on both?
- What early warning signs should I watch for, and what should I do if they appear?
Réservé aux membres Pro+
Débloquer la page complète
Créez un compte et lancez un essai Pro+ pour débloquer les conseils complets de prise en charge pour Cenobamate et Levonorgestrel, les notes complémentaires, le détail des données probantes et le vérificateur d'interactions pour une ordonnance complète.
- Full clinical management advice
- Additional notes
- Evidence detail
- Interaction checker for a whole prescription
Essayez Pro+ gratuitement pendant 14 jours sur le web. Sans carte.
Autres interactions de Levonorgestrel
- Amobarbital + Levonorgestrel Majeure
- Apalutamide + Levonorgestrel Majeure
- Belzutifan + Levonorgestrel Majeure
- Bosentan + Levonorgestrel Majeure
- Brigatinib + Levonorgestrel Majeure
- Carbamazepine + Levonorgestrel Majeure
Autres interactions de Cenobamate
Questions fréquentes
Can I take Cenobamate with Levonorgestrel?
MediHelp rates the interaction as major. Cenobamate and Levonorgestrel can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Cenobamate induces CYP3A4 and may lower systemic levonorgestrel, reducing the reliability of oral or emergency levonorgestrel contraception. The local effect of an intrauterine system is less affected.
How serious is the interaction between Cenobamate and Levonorgestrel?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Advise additional or alternative non-hormonal contraception; for emergency contraception prefer a copper IUD, or consider a higher levonorgestrel dose if guidance supports it.
What other medicines interact with Levonorgestrel?
MediHelp also lists interactions of Levonorgestrel with, for example, Amobarbital, Apalutamide, Belzutifan. The full list is on the Levonorgestrel page.
Monographies complètes, posologies et vérificateur d'interactions dans l'application MediHelp
Ouvrez le référentiel complet, vérifiez les interactions entre plusieurs médicaments et utilisez les outils de posologie dans l'application MediHelp.