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Interazioni tra farmaci

Eslicarbazepine + Mavacamten

Gravità: Controindicata

Eslicarbazepine and Mavacamten: contraindicated interaction.

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Sintesi

Eslicarbazepine inhibits CYP2C19 and induces CYP3A4, which changes mavacamten exposure in unpredictable ways. Raised exposure risks systolic dysfunction and heart failure, whereas lowered exposure reduces efficacy.

Cosa significa questa interazione in parole semplici

Eslicarbazepine 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.

Eslicarbazepine belongs to Central Nervous System; Mavacamten belongs to Cardiovascular.

Livello di evidenza: Moderate

Perché avviene

Eslicarbazepine inhibits CYP2C19 and induces CYP3A4, both of which contribute to mavacamten clearance.

Cosa fare

Avoid the combination and choose an alternative antiseizure drug. If the pair has been used, monitor LVEF and clinical status closely.

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 Eslicarbazepine with Mavacamten?

MediHelp rates the interaction as contraindicated. Eslicarbazepine 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. Eslicarbazepine inhibits CYP2C19 and induces CYP3A4, which changes mavacamten exposure in unpredictable ways. Raised exposure risks systolic dysfunction and heart failure, whereas lowered exposure reduces efficacy.

How serious is the interaction between Eslicarbazepine 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 and choose an alternative antiseizure drug. If the pair has been used, monitor LVEF and clinical status closely.

What other medicines interact with Eslicarbazepine?

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

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