藥物交互作用
Brigatinib + Carbamazepine
嚴重程度: 嚴重
Brigatinib and Carbamazepine: major interaction.
最後更新
僅供醫療專業人員參考。本頁為簡要摘要,並非醫療建議,亦不能取代官方仿單或臨床判斷。開立處方或調劑前請務必核實。
本頁的臨床內容僅提供英文版。
摘要
Carbamazepine can reduce brigatinib exposure and efficacy, and brigatinib may induce CYP3A4 and lower carbamazepine levels, risking breakthrough seizures.
用白話說明這項交互作用的意義
Brigatinib 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.
Brigatinib belongs to Oncology; Carbamazepine belongs to Central Nervous System.
為什麼會發生
Carbamazepine induces CYP3A4, lowering brigatinib levels, and brigatinib is a CYP3A4 inducer in vitro that may reduce carbamazepine.
處置方式
Avoid strong CYP3A inducers with brigatinib and use a non-inducing anticonvulsant; if unavoidable, monitor carbamazepine levels and tumor response.
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?
Carbamazepine 的其他交互作用
Brigatinib 的其他交互作用
常見問題
Can I take Brigatinib with Carbamazepine?
MediHelp rates the interaction as major. Brigatinib 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 can reduce brigatinib exposure and efficacy, and brigatinib may induce CYP3A4 and lower carbamazepine levels, risking breakthrough seizures.
How serious is the interaction between Brigatinib 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 strong CYP3A inducers with brigatinib and use a non-inducing anticonvulsant; if unavoidable, monitor carbamazepine levels and tumor response.
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.
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。