相互作用
Carbamazepine + Lemborexant
重症度: 重大
Carbamazepine and Lemborexant: major interaction.
最終更新日
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概要
Strong CYP3A4 induction by carbamazepine substantially lowers lemborexant exposure, likely making it ineffective for insomnia.
この相互作用をわかりやすく説明すると
Carbamazepine and Lemborexant 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.
Carbamazepine belongs to Central Nervous System; Lemborexant belongs to Central Nervous System.
なぜ起こるのか
Carbamazepine induces CYP3A4, which is the main pathway of lemborexant metabolism.
対処法
Avoid co-use and consider another hypnotic not dependent on CYP3A4. Labeling advises against use with strong or moderate CYP3A inducers.
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、CarbamazepineとLemborexant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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Carbamazepineのその他の相互作用
Lemborexantのその他の相互作用
よくある質問
Can I take Carbamazepine with Lemborexant?
MediHelp rates the interaction as major. Carbamazepine and Lemborexant 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. Strong CYP3A4 induction by carbamazepine substantially lowers lemborexant exposure, likely making it ineffective for insomnia.
How serious is the interaction between Carbamazepine and Lemborexant?
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 co-use and consider another hypnotic not dependent on CYP3A4. Labeling advises against use with strong or moderate CYP3A inducers.
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.
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。
