Simvastatin/Carbamazepine; Eslicarbazepine; Oxcarbazepine
Moderate. These medicines may cause some risk when taken together. Contact your healthcare professional (e.g. doctor or pharmacist) for more information.
How the interaction occurs:
Carbamazepine, eslicarbazepine, or oxcarbazepine may speed up how quickly your liver processes your cholesterol medicine.
What might happen:
The amount of cholesterol medicine in your blood may decrease and it may not work as well.
What you should do about this interaction:
Let your healthcare professionals (e.g. doctor or pharmacist) know that you are taking these medicines together. Your doctor may want to check your cholesterol level to see if your medicine is working. Your doctor may want to adjust the dose or change your cholesterol medicine.Your healthcare professionals may already be aware of this interaction and may be monitoring you for it. Do not start, stop, or change the dosage of any medicine before checking with them first.
1.Ucar M, Neuvonen M, Luurila H, Dahlqvist R, Neuvonen PJ, Mjorndal T. Carbamazepine markedly reduces serum concentrations of simvastatin and simvastatin acid. Eur J Clin Pharmacol 2004 Feb;59(12):879-82.
2.Aptiom (eslicarbazepine) US prescribing information. Sunovian Pharmaceuticals Inc. November, 2013.
3.Zebinix (eslicarbazepine) UK prescribing information. Eisai Ltd. April 29, 2013.
4.US Food and Drug Administration (FDA). Drug Development and Drug Interactions: Table of Substrates, Inhibitors and Inducers. Available at: http://www.fda.gov/Drugs/DevelopmentApprovalProcess/DevelopmentResources/D rugInteractionsLabeling/ucm093664.htm. Updated 08/05/2011.
5.Bialer M, White HS. Key factors in the discovery and development of new antiepileptic drugs. Nat Rev Drug Discov 2010 Jan;9(1):68-82.