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Interactions médicamenteuses

Ivacaftor + Oxcarbazepine

Gravité: Majeure

Ivacaftor and Oxcarbazepine: major interaction.

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Résumé

Oxcarbazepine may reduce ivacaftor exposure via CYP3A4 induction. Strong inducers lower ivacaftor exposure substantially, and oxcarbazepine is a weaker inducer with uncertain but possible effects. Loss of CFTR modulator efficacy is possible.

Ce que signifie cette interaction, en termes simples

Ivacaftor and Oxcarbazepine 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.

Ivacaftor belongs to Miscellaneous; Oxcarbazepine belongs to Central Nervous System.

Niveau de preuve: Low

Pourquoi elle survient

Oxcarbazepine induces CYP3A4, increasing ivacaftor metabolism.

Conduite à tenir

Prefer a non-inducing anticonvulsant. If it is used, monitor lung function and clinical response to ivacaftor.

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?

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 Ivacaftor with Oxcarbazepine?

MediHelp rates the interaction as major. Ivacaftor and Oxcarbazepine 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. Oxcarbazepine may reduce ivacaftor exposure via CYP3A4 induction. Strong inducers lower ivacaftor exposure substantially, and oxcarbazepine is a weaker inducer with uncertain but possible effects. Loss of CFTR modulator efficacy is possible.

How serious is the interaction between Ivacaftor and Oxcarbazepine?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Prefer a non-inducing anticonvulsant. If it is used, monitor lung function and clinical response to ivacaftor.

What other medicines interact with Oxcarbazepine?

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

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