相互作用
Carbamazepine + Lurasidone
重症度: 併用禁忌
Carbamazepine and Lurasidone: contraindicated interaction.
最終更新日
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概要
Carbamazepine is a strong inducer of CYP3A4, CYP2B6, CYP1A2 and P-glycoprotein and accelerates the clearance of lurasidone. The result is markedly reduced lurasidone exposure and loss of antipsychotic effect.
この相互作用をわかりやすく説明すると
Carbamazepine and Lurasidone 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; Lurasidone belongs to Central Nervous System.
なぜ起こるのか
Enzyme induction by carbamazepine increases metabolic clearance of lurasidone
対処法
Do not co-administer; use a non-inducing alternative to carbamazepine, and allow enzyme induction to wane (several weeks) before starting lurasidone.
薬剤師に尋ねること
- 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?
Pro+会員向け
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アカウントを作成してPro+トライアルを始めると、CarbamazepineとLurasidone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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Lurasidoneのその他の相互作用
Carbamazepineのその他の相互作用
よくある質問
Can I take Carbamazepine with Lurasidone?
MediHelp rates the interaction as contraindicated. Carbamazepine and Lurasidone 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 is a strong inducer of CYP3A4, CYP2B6, CYP1A2 and P-glycoprotein and accelerates the clearance of lurasidone. The result is markedly reduced lurasidone exposure and loss of antipsychotic effect.
How serious is the interaction between Carbamazepine and Lurasidone?
MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not co-administer; use a non-inducing alternative to carbamazepine, and allow enzyme induction to wane (several weeks) before starting lurasidone.
What other medicines interact with Lurasidone?
MediHelp also lists interactions of Lurasidone with, for example, Apalutamide, Atazanavir, Clarithromycin. The full list is on the Lurasidone 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。
