相互作用
Carbamazepine + Thalidomide
重症度: 重大
Carbamazepine and Thalidomide: major interaction.
最終更新日
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このページの臨床コンテンツは英語でのみ提供されています。
概要
Carbamazepine is an enzyme inducer that lowers hormonal contraceptive concentrations and can result in breakthrough ovulation. With thalidomide, contraceptive failure risks severe fetal malformations.
この相互作用をわかりやすく説明すると
Carbamazepine and Thalidomide 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; Thalidomide belongs to Miscellaneous.
なぜ起こるのか
CYP3A4 induction by carbamazepine accelerates metabolism of contraceptive hormones.
対処法
Do not rely on hormonal contraceptives; use a copper IUD or other non-hormonal highly effective method with a barrier method during and after carbamazepine.
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Thalidomide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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Thalidomide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 Thalidomide?
MediHelp rates the interaction as major. Carbamazepine and Thalidomide 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 is an enzyme inducer that lowers hormonal contraceptive concentrations and can result in breakthrough ovulation. With thalidomide, contraceptive failure risks severe fetal malformations.
How serious is the interaction between Carbamazepine and Thalidomide?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not rely on hormonal contraceptives; use a copper IUD or other non-hormonal highly effective method with a barrier method during and after carbamazepine.
What other medicines interact with Thalidomide?
MediHelp also lists interactions of Thalidomide with, for example, Bortezomib, Griseofulvin, Modafinil. The full list is on the Thalidomide 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。
