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Interaction Check

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Selected Drugs Clear All

  • remove Depacon
    valproate sodium
  • remove diazepam rectal
    generic
  • remove Equetro
    carbamazepine
  • remove Libervant
    diazepam transmucosal
  • remove Motpoly XR
    lacosamide
  • remove valproate sodium
    generic

multicheck MultiCheck Results - 15 Interactions

Smiley face Smiley face

Avoid/Use Alternative

Smiley face Smiley face Depacon (valproate sodium) + valproate sodium (generic)

Avoid/Use Alternative


valproic acid + valproic acid

avoid combo: combo may incr. risk of myelosuppression, CNS depression, psychomotor impairment, other adverse effects (additive effects, duplicate therapy)

Smiley face Smiley face diazepam rectal (generic) + Libervant (diazepam transmucosal)

Avoid/Use Alternative


diazepam + diazepam

use alternative or monitor respiratory rate; use lowest effective doses and shortest duration of concomitant tx: combo may incr. risk of profound CNS and respiratory depression, psychomotor impairment (additive effects, duplicate therapy)

Monitor/Modify Tx

Smiley face Smiley face Depacon (valproate sodium) + diazepam rectal (generic)

Monitor/Modify Tx


valproic acid + diazepam

monitor respiratory rate, use lowest effective doses and shortest duration of concomitant tx: combo may incr. risk of profound CNS and respiratory depression, psychomotor impairment (additive effects)

Smiley face Smiley face Depacon (valproate sodium) + Equetro (carbamazepine)

Monitor/Modify Tx


valproic acid + carbamazepine

monitor levels of both drugs: combo may decr. valproic acid levels, efficacy; may incr. carbamazepine active metabolite levels, risk of CNS depression, psychomotor impairment, other adverse effects (UGT induced; epoxide hydrolase inhibited, additive effects)

Smiley face Smiley face Depacon (valproate sodium) + Libervant (diazepam transmucosal)

Monitor/Modify Tx


valproic acid + diazepam

monitor respiratory rate, use lowest effective doses and shortest duration of concomitant tx: combo may incr. risk of profound CNS and respiratory depression, psychomotor impairment (additive effects)

Smiley face Smiley face diazepam rectal (generic) + Equetro (carbamazepine)

Monitor/Modify Tx


diazepam + carbamazepine

monitor respiratory rate; use lowest effective doses and shortest duration of concomitant tx: combo may decr. diazepam levels, efficacy; may incr. risk of profound CNS and respiratory depression, psychomotor impairment (hepatic metabolism induced; additive effects)

Smiley face Smiley face diazepam rectal (generic) + Motpoly XR (lacosamide)

Monitor/Modify Tx


diazepam + lacosamide

monitor respiratory rate; use lowest effective doses and shortest duration of concomitant tx: combo may incr. risk of profound CNS and respiratory depression, psychomotor impairment (additive effects)

Smiley face Smiley face diazepam rectal (generic) + valproate sodium (generic)

Monitor/Modify Tx


diazepam + valproic acid

monitor respiratory rate, use lowest effective doses and shortest duration of concomitant tx: combo may incr. risk of profound CNS and respiratory depression, psychomotor impairment (additive effects)

Smiley face Smiley face Equetro (carbamazepine) + Libervant (diazepam transmucosal)

Monitor/Modify Tx


carbamazepine + diazepam

monitor respiratory rate; use lowest effective doses and shortest duration of concomitant tx: combo may decr. diazepam levels, efficacy; may incr. risk of profound CNS and respiratory depression, psychomotor impairment (hepatic metabolism induced; additive effects)

Smiley face Smiley face Equetro (carbamazepine) + Motpoly XR (lacosamide)

Monitor/Modify Tx


carbamazepine + lacosamide

monitor HR, ECG, especially during lacosamide initiation/titration; consider decr. dose of one or both drugs: combo may incr. risk of CNS depression, psychomotor impairment, PR interval prolongation, AV block, bradycardia (additive effects)

Smiley face Smiley face Equetro (carbamazepine) + valproate sodium (generic)

Monitor/Modify Tx


carbamazepine + valproic acid

monitor levels of both drugs: combo may decr. valproic acid levels, efficacy; may incr. carbamazepine active metabolite levels, risk of CNS depression, psychomotor impairment, other adverse effects (UGT induced; epoxide hydrolase inhibited, additive effects)

Smiley face Smiley face Libervant (diazepam transmucosal) + Motpoly XR (lacosamide)

Monitor/Modify Tx


diazepam + lacosamide

monitor respiratory rate; use lowest effective doses and shortest duration of concomitant tx: combo may incr. risk of profound CNS and respiratory depression, psychomotor impairment (additive effects)

Smiley face Smiley face Libervant (diazepam transmucosal) + valproate sodium (generic)

Monitor/Modify Tx


diazepam + valproic acid

monitor respiratory rate, use lowest effective doses and shortest duration of concomitant tx: combo may incr. risk of profound CNS and respiratory depression, psychomotor impairment (additive effects)

Caution Advised

Smiley face Smiley face Depacon (valproate sodium) + Motpoly XR (lacosamide)

Caution Advised


valproic acid + lacosamide

caution advised: combo may incr. risk of CNS depression, psychomotor impairment (additive effects)

Smiley face Smiley face Motpoly XR (lacosamide) + valproate sodium (generic)

Caution Advised


lacosamide + valproic acid

caution advised: combo may incr. risk of CNS depression, psychomotor impairment (additive effects)

Additional Considerations

Smiley face Smiley face carbamazepine in Equetro

add MAO inhibitor to Interaction Check if recent (14 days) use

some formulations of carbamazepine contain sorbitol

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