相互作用
Carbamazepine + Mavacamten
重症度: 併用禁忌
Carbamazepine and Mavacamten: contraindicated interaction.
最終更新日
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概要
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.
この相互作用をわかりやすく説明すると
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.
なぜ起こるのか
Carbamazepine induces CYP2C19 and CYP3A4, the main enzymes clearing mavacamten.
対処法
Avoid the combination as labeled. If an inducer is stopped or started, reassess LVEF and gradients and adjust mavacamten dose by echocardiography.
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Mavacamten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
Mavacamtenのその他の相互作用
よくある質問
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.
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。
