藥物交互作用
Aprepitant + Carbamazepine
嚴重程度: 嚴重
Aprepitant and Carbamazepine: major interaction.
最後更新
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摘要
Carbamazepine is a strong CYP3A4 inducer and can markedly reduce aprepitant levels, risking loss of antiemetic effect. Aprepitant may also modestly alter other CYP substrates.
用白話說明這項交互作用的意義
Aprepitant and Carbamazepine 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.
Aprepitant belongs to Gastrointestinal Tract; Carbamazepine belongs to Central Nervous System.
為什麼會發生
Carbamazepine induces CYP3A4, which accelerates aprepitant clearance.
處置方式
Avoid the combination where possible, and use an alternative antiemetic strategy such as a different class. If given together, monitor for breakthrough emesis.
可向藥師詢問的問題
- 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?
Aprepitant 的其他交互作用
Carbamazepine 的其他交互作用
常見問題
Can I take Aprepitant with Carbamazepine?
MediHelp rates the interaction as major. Aprepitant and Carbamazepine 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 a strong CYP3A4 inducer and can markedly reduce aprepitant levels, risking loss of antiemetic effect. Aprepitant may also modestly alter other CYP substrates.
How serious is the interaction between Aprepitant and Carbamazepine?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination where possible, and use an alternative antiemetic strategy such as a different class. If given together, monitor for breakthrough emesis.
What other medicines interact with Aprepitant?
MediHelp also lists interactions of Aprepitant with, for example, Lomitapide, Pimozide, Avapritinib. The full list is on the Aprepitant page.
在 MediHelp App 中取得完整藥品專論、劑量資訊與交互作用檢查
在 MediHelp App 中開啟完整參考資料、檢查多種藥物間的交互作用，並使用劑量工具。
