CLARITHROMYCIN CARBAMAZEPINE INTERACTION - A CASE-REPORT

被引:44
作者
ALBANI, F
RIVA, R
BARUZZI, A
机构
[1] Laboratory of Neuropharmacology, Institute of Neurology, University of Bologna, Bologna
关键词
CLARITHROMYCIN; MACROLIDE ANTIBIOTICS; ANTICONVULSANTS; CARBAMAZEPINE; CARBAMAZEPINEEPOXIDE; DRUG TOXICITY; DRUG INTERACTIONS;
D O I
10.1111/j.1528-1157.1993.tb02391.x
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We report a clinically relevant interaction between a new macrolide antibiotic, clarithromycin. and carbamazepine (CBZ). In a patient receiving CBZ monotherapy, 10-day antibiotic treatment increased CBZ concentration despite concomitant CBZ dose reduction and doubled the CBZ concentration/dose ratio. Concentration of the CBZ epoxide (CBZ-E) metabolite was reduced, suggesting that the interaction occurs at a metabolic level.
引用
收藏
页码:161 / 162
页数:2
相关论文
共 11 条
[1]  
BARZAGHI N, 1988, INT J CLIN PHARM RES, V8, P101
[2]   INHIBITION BY ERYTHROMYCIN OF THE CONVERSION OF CARBAMAZEPINE TO ITS ACTIVE 10,11-EPOXIDE METABOLITE [J].
BARZAGHI, N ;
GATTI, G ;
CREMA, F ;
MONTELEONE, M ;
AMIONE, C ;
LEONE, L ;
PERUCCA, E .
BRITISH JOURNAL OF CLINICAL PHARMACOLOGY, 1987, 24 (06) :836-838
[3]   DETERMINATION OF TOTAL AND FREE PLASMA CARBAMAZEPINE CONCENTRATIONS BY ENZYME MULTIPLIED IMMUNOASSAY - INTERFERENCE WITH THE 10,11-EPOXIDE METABOLITE [J].
CONTIN, M ;
RIVA, R ;
ALBANI, F ;
PERUCCA, E ;
BARUZZI, A .
THERAPEUTIC DRUG MONITORING, 1985, 7 (01) :46-50
[4]   EFFECT OF PONSINOMYCIN ON SINGLE-DOSE KINETICS AND METABOLISM OF CARBAMAZEPINE [J].
COUET, W ;
ISTIN, B ;
INGRAND, I ;
GIRAULT, J ;
FOURTILLAN, JB .
THERAPEUTIC DRUG MONITORING, 1990, 12 (02) :144-149
[5]  
MACNAB AJ, 1987, PEDIATRICS, V80, P851
[6]   ERYTHROMYCIN EFFECTS ON MULTIPLE-DOSE CARBAMAZEPINE KINETICS [J].
MILES, MV ;
TENNISON, MB .
THERAPEUTIC DRUG MONITORING, 1989, 11 (01) :47-52
[7]   COMPLETE EXTERNAL OPHTHALMOPLEGIA AND ASTERIXIS WITH CARBAMAZEPINE TOXICITY [J].
NG, K ;
SILBERT, PL ;
EDIS, RH .
AUSTRALIAN AND NEW ZEALAND JOURNAL OF MEDICINE, 1991, 21 (06) :886-887
[8]   A STUDY OF THE INTERACTION OF ROXITHROMYCIN WITH THEOPHYLLINE AND CARBAMAZEPINE [J].
SAINTSALVI, B ;
TREMBLAY, D ;
SURJUS, A ;
LEFEBVRE, MA .
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 1987, 20 :121-129
[9]   EFFECTS OF JOSAMYCIN ON CARBAMAZEPINE KINETICS [J].
VINCON, G ;
ALBIN, H ;
DEMOTESMAINARD, F ;
GUYOT, M ;
BISTUE, C ;
LOISEAU, P .
EUROPEAN JOURNAL OF CLINICAL PHARMACOLOGY, 1987, 32 (03) :321-323
[10]  
ZAGNONI P G, 1991, Epilepsia, V32, P28