相互作用
Carbamazepine + Voriconazole
重症度: 併用禁忌
Carbamazepine and Voriconazole: contraindicated interaction.
最終更新日 出典: US FDA label
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概要
Carbamazepine markedly lowers voriconazole concentrations, risking antifungal treatment failure. Voriconazole may in turn raise carbamazepine levels, causing toxicity. Voriconazole labeling contraindicates its use with carbamazepine.
この相互作用をわかりやすく説明すると
Carbamazepine and Voriconazole 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; Voriconazole belongs to Anti Fungals.
なぜ起こるのか
Carbamazepine induces CYP3A4 and other CYP enzymes, accelerating voriconazole metabolism, while voriconazole inhibits CYP3A4 and may reduce carbamazepine clearance.
対処法
Do not combine. Use an alternative antifungal that is not affected, or an alternative anticonvulsant with no enzyme-inducing effect, according to the infection and seizure type.
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?
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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Voriconazole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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参考文献
- Vfend (voriconazole) Prescribing Information - Contraindications and Drug Interactions — FDA Label
- Voriconazole Summary of Product Characteristics — EMA SmPC
Carbamazepineのその他の相互作用
Voriconazoleのその他の相互作用
よくある質問
Can I take Carbamazepine with Voriconazole?
MediHelp rates the interaction as contraindicated. Carbamazepine and Voriconazole 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 lowers voriconazole concentrations, risking antifungal treatment failure. Voriconazole may in turn raise carbamazepine levels, causing toxicity. Voriconazole labeling contraindicates its use with carbamazepine.
How serious is the interaction between Carbamazepine and Voriconazole?
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 combine. Use an alternative antifungal that is not affected, or an alternative anticonvulsant with no enzyme-inducing effect, according to the infection and seizure type.
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。
