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Interazioni tra farmaci

Carbamazepine + Mavacamten

Gravità: Controindicata

Carbamazepine and Mavacamten: contraindicated interaction.

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Sintesi

Carbamazepine markedly reduces mavacamten exposure, which may cause loss of efficacy in obstructive hypertrophic cardiomyopathy. Stopping the inducer later could also cause mavacamten levels to rise unexpectedly.

Cosa significa questa interazione in parole semplici

Carbamazepine and Mavacamten 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; Mavacamten belongs to Cardiovascular.

Livello di evidenza: High

Perché avviene

Carbamazepine induces CYP2C19 and CYP3A4, the main enzymes clearing mavacamten.

Cosa fare

Avoid the combination as labeled. If an inducer is stopped or started, reassess LVEF and gradients and adjust mavacamten dose by echocardiography.

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 Carbamazepine with Mavacamten?

MediHelp rates the interaction as contraindicated. Carbamazepine and Mavacamten 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 markedly reduces mavacamten exposure, which may cause loss of efficacy in obstructive hypertrophic cardiomyopathy. Stopping the inducer later could also cause mavacamten levels to rise unexpectedly.

How serious is the interaction between Carbamazepine and Mavacamten?

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 as labeled. If an inducer is stopped or started, reassess LVEF and gradients and adjust mavacamten dose by echocardiography.

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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