相互作用
Artemether / lumefantrine + Eslicarbazepine
重症度: 重大
Artemether / lumefantrine and Eslicarbazepine: major interaction.
最終更新日
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概要
Eslicarbazepine can lower artemether and lumefantrine concentrations by inducing CYP3A4. Subtherapeutic antimalarial exposure risks treatment failure and recrudescence.
この相互作用をわかりやすく説明すると
Artemether / lumefantrine and Eslicarbazepine 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.
なぜ起こるのか
Eslicarbazepine induces CYP3A4, increasing the metabolism of artemether and lumefantrine.
対処法
Avoid the combination when possible and use an alternative antimalarial or antiseizure drug. If it cannot be avoided, monitor closely for treatment failure and parasitological response.
薬剤師に尋ねること
- 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?
Pro+会員向け
ページ全体を見る
アカウントを作成してPro+トライアルを始めると、Artemether / lumefantrineとEslicarbazepineの臨床対応の詳細なアドバイス、追加の注記、エビデンスの詳細、処方全体を対象とした相互作用チェッカーを利用できます。
- Full clinical management advice
- Additional notes
- Evidence detail
- Interaction checker for a whole prescription
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Eslicarbazepineのその他の相互作用
よくある質問
Can I take Artemether / lumefantrine with Eslicarbazepine?
MediHelp rates the interaction as major. Artemether / lumefantrine and Eslicarbazepine 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. Eslicarbazepine can lower artemether and lumefantrine concentrations by inducing CYP3A4. Subtherapeutic antimalarial exposure risks treatment failure and recrudescence.
How serious is the interaction between Artemether / lumefantrine and Eslicarbazepine?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination when possible and use an alternative antimalarial or antiseizure drug. If it cannot be avoided, monitor closely for treatment failure and parasitological response.
What other medicines interact with Eslicarbazepine?
MediHelp also lists interactions of Eslicarbazepine with, for example, Mavacamten, Rilpivirine, Avapritinib. The full list is on the Eslicarbazepine page.
完全なモノグラフ、用量、相互作用チェッカーはMediHelpアプリで
MediHelpアプリで、完全なリファレンスを開き、複数薬剤の相互作用をチェックし、用量ツールを利用できます。