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Interações medicamentosas

Artesunate + Carbamazepine

Gravidade: Moderada

Artesunate and Carbamazepine: moderate interaction.

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Para profissionais de saúde — apenas referência. Esta página é um resumo breve, não é aconselhamento médico nem substitui a bula oficial ou o julgamento clínico. Verifique sempre antes de prescrever ou dispensar.

O conteúdo clínico desta página está disponível apenas em inglês.

Resumo

Carbamazepine induces UGT and CYP enzymes that handle artesunate and its active metabolite dihydroartemisinin. Exposure to the active metabolite may fall, raising the risk of treatment failure in malaria.

O que esta interação significa em palavras simples

Artesunate and Carbamazepine can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Artesunate belongs to Anti Parasitic; Carbamazepine belongs to Central Nervous System.

Nível de evidência: Low

Por que acontece

Carbamazepine induces UGT (and CYP2A6/CYP3A4) metabolism of artesunate and dihydroartemisinin.

O que fazer

Monitor parasitological and clinical response closely, particularly in severe malaria. Consider an alternative antiseizure drug if prolonged therapy is needed.

O que perguntar ao farmacêutico

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Perguntas frequentes

Can I take Artesunate with Carbamazepine?

MediHelp rates the interaction as moderate. Artesunate and Carbamazepine can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Carbamazepine induces UGT and CYP enzymes that handle artesunate and its active metabolite dihydroartemisinin. Exposure to the active metabolite may fall, raising the risk of treatment failure in malaria.

How serious is the interaction between Artesunate and Carbamazepine?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor parasitological and clinical response closely, particularly in severe malaria. Consider an alternative antiseizure drug if prolonged therapy is needed.

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.

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