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Interazioni tra farmaci

Artemether / lumefantrine + Carbamazepine

Gravità: Controindicata

Artemether / lumefantrine and Carbamazepine: contraindicated interaction.

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Sintesi

Carbamazepine, a strong CYP3A4 inducer, can markedly lower artemether and lumefantrine concentrations. This may cause antimalarial treatment failure. Labeling contraindicates use of strong inducers.

Cosa significa questa interazione in parole semplici

Artemether / lumefantrine and Carbamazepine 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.

Livello di evidenza: Moderate

Perché avviene

Carbamazepine induces CYP3A4, accelerating metabolism of artemether and lumefantrine.

Cosa fare

Avoid the combination and choose an alternative antimalarial not affected by enzyme induction. Seek specialist advice for malaria treatment.

Cosa chiedere al farmacista

  • 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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Domande frequenti

Can I take Artemether / lumefantrine with Carbamazepine?

MediHelp rates the interaction as contraindicated. Artemether / lumefantrine and Carbamazepine 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, a strong CYP3A4 inducer, can markedly lower artemether and lumefantrine concentrations. This may cause antimalarial treatment failure. Labeling contraindicates use of strong inducers.

How serious is the interaction between Artemether / lumefantrine and Carbamazepine?

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 the combination and choose an alternative antimalarial not affected by enzyme induction. Seek specialist advice for malaria treatment.

What other medicines interact with Carbamazepine?

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

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