藥物交互作用
Bedaquiline + Eslicarbazepine
嚴重程度: 嚴重
Bedaquiline and Eslicarbazepine: major interaction.
最後更新
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本頁的臨床內容僅提供英文版。
摘要
Bedaquiline is metabolized by CYP3A4, and inducers lower its levels, risking reduced antimycobacterial activity and resistance. Labeling advises avoiding strong inducers; eslicarbazepine's effect is likely weaker.
用白話說明這項交互作用的意義
Bedaquiline and Eslicarbazepine 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.
Bedaquiline belongs to Anti Bacterial; Eslicarbazepine belongs to Central Nervous System.
為什麼會發生
Eslicarbazepine induces CYP3A4, increasing bedaquiline metabolism.
處置方式
Avoid the combination and use a non-inducing anticonvulsant; if unavoidable, monitor sputum culture conversion.
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?
Eslicarbazepine 的其他交互作用
Bedaquiline 的其他交互作用
常見問題
Can I take Bedaquiline with Eslicarbazepine?
MediHelp rates the interaction as major. Bedaquiline and Eslicarbazepine 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. Bedaquiline is metabolized by CYP3A4, and inducers lower its levels, risking reduced antimycobacterial activity and resistance. Labeling advises avoiding strong inducers; eslicarbazepine's effect is likely weaker.
How serious is the interaction between Bedaquiline and Eslicarbazepine?
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 and use a non-inducing anticonvulsant; if unavoidable, monitor sputum culture conversion.
What other medicines interact with Eslicarbazepine?
MediHelp also lists interactions of Eslicarbazepine with, for example, Mavacamten, Rilpivirine, Artemether / lumefantrine. The full list is on the Eslicarbazepine 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。
