Efavirenz CBZ 443

Interaction Color Code
Clinical Bottom Line
Do not coadminister: Reduced levels of carbamazepine and efavirenz
Drug 1
Drug 1 dose
600 mg daily on days 1-35
Drug 1 effect

Efavirenz AUC decreased 36%; Cmax decreased 21%; Cmin decreased 47%

Drug 2
Drug 2 dose
200 mg daily on days 1-3, 200 mg BID on days 4-6, 400 mg daily thereafter
Drug 2 effect

Carbamazepine AUC decreased 27%; Cmax decreased 20%; Cmin decreased 35%

Clinical Effects

Decreased efavirenz and carbamazepine levels

Management

Avoid combination and use alternative agents. If coadministering monitor carbamazepine levels and adjust as indicated. Monitor antiviral efficacy

Import ID
443