Multiple inductive effects of carbamazepine on combined therapy with paliperidone and amlodipine.

Abstract:

WHAT IS KNOWN AND OBJECTIVE:Carbamazepine is a potent inducer of cytochrome P450 3A and P-glycoprotein. However, there are no reports of the effects of carbamazepine on more than one co-administered drug. CASE SUMMARY:A 53-year-old female patient with schizophrenia and hypertension was on paliperidone 12 mg/day and amlodipine 5 mg/day. When carbamazepine was added to this prescription, the plasma concentrations of both drugs decreased dramatically in a dose-dependent manner. Although the patient's psychotic symptoms did not change, as a result, her mean blood pressure increased to 160·1/103·6 mmHg from 138·4/91·4 mmHg at a carbamazepine dose of 600 mg/day. WHAT IS NEW AND CONCLUSION:Theses cases show the effect of carbamazepine induction on two drugs simultaneously. Care is required when carbamazepine is added to drug regimens including paliperidone or amlodipine alone or together.

journal_name

J Clin Pharm Ther

authors

Akamine Y,Uehara H,Miura M,Yasui-Furukori N,Uno T

doi

10.1111/jcpt.12286

subject

Has Abstract

pub_date

2015-08-01 00:00:00

pages

480-2

issue

4

eissn

0269-4727

issn

1365-2710

journal_volume

40

pub_type

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