藥物交互作用
Carbamazepine + Isavuconazole
嚴重程度: 禁忌併用
Carbamazepine and Isavuconazole: contraindicated interaction.
最後更新
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摘要
Carbamazepine strongly induces CYP3A4 and can markedly lower isavuconazole concentrations. This may lead to subtherapeutic antifungal exposure and treatment failure in invasive mold infections.
用白話說明這項交互作用的意義
Carbamazepine and Isavuconazole 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; Isavuconazole belongs to Anti Fungals.
為什麼會發生
Induction of CYP3A4/5 (and possibly other pathways) by carbamazepine increases isavuconazole clearance.
處置方式
Do not coadminister; choose an alternative anticonvulsant or antifungal. If unavoidable, use therapeutic drug monitoring and expert advice.
可向藥師詢問的問題
- 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?
Isavuconazole 的其他交互作用
Carbamazepine 的其他交互作用
常見問題
Can I take Carbamazepine with Isavuconazole?
MediHelp rates the interaction as contraindicated. Carbamazepine and Isavuconazole 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 strongly induces CYP3A4 and can markedly lower isavuconazole concentrations. This may lead to subtherapeutic antifungal exposure and treatment failure in invasive mold infections.
How serious is the interaction between Carbamazepine and Isavuconazole?
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 coadminister; choose an alternative anticonvulsant or antifungal. If unavoidable, use therapeutic drug monitoring and expert advice.
What other medicines interact with Isavuconazole?
MediHelp also lists interactions of Isavuconazole with, for example, Efavirenz, Etravirine, Ketoconazole. The full list is on the Isavuconazole 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。
