Carbamazepine + Methadone Hydrochloride Interaction

Majorinteraction on record

Description

CYP3A4 and CYP2C19 inducer that decreases methadone plasma concentration, reducing efficacy and causing withdrawal symptoms, with risk of serious respiratory depression and death upon discontinuation.

Mechanism

Induction of CYP3A4 and CYP2C19-mediated methadone N-demethylation

Source: NLP:methadone hydrochloride