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Haldol Decanoate and Tegretol

Determining the interaction of Haldol Decanoate and Tegretol and the possibility of their joint administration.

Check result:
Haldol Decanoate <> Tegretol
Relevance: 20.11.2022 Reviewer: Shkutko P.M., M.D., in

In the database of official manuals used in the service creation an interaction registered by statistical results of studies was found, which can either lead to negative consequences for the patient health or strengthen a mutual positive effect. A doctor should be consulted to address the issue of joint drug administration.

Consumer:

Using haloperidol together with carBAMazepine may decrease the effects of haloperidol. You should be closely monitored for mental status changes, including hallucinations, delusions, and confusion. Contact your doctor if you use haloperidol together with carBAMazepine. You may need a dose adjustment or special test if you use both medications. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Professional:

MONITOR: Carbamazepine may decrease serum concentrations of butyrophenones. The mechanism may be related to carbamazepine induction of CYP450 metabolism. Additionally, cases of delirium have been reported in patients taking haloperidol and carbamazepine. Data have been conflicting, and no changes, deterioration, and improvements in patient symptomatology have been reported with this combination.

MANAGEMENT: Close observation for altered clinical effects is recommended if these drugs must be used together.

References
  • Arana GW, Goff DC, Friedman H, et al. "Does carbamazepine-induced reduction of plasma haloperidol levels worsen psychotic symptoms?" Am J Psychiatry 143 (1986): 650-1
  • Kidron R, Averbuch I, Klein E, Belmaker RH "Carbamazepine-induced reduction of blood levels of haloperidol in chronic schizophrenia." Biol Psychiatry 20 (1985): 219-22
  • Jann MW, Ereshefsky L, Saklad SR, et al. "Effects of carbamazepine on plasma halopeidol levels." J Clin Pharmacol 5 (1985): 106-9
  • Kahn EM, Schulz SC, Perel JM, Alexander JE "Change in haloperidol level due to carbamazepine--a complicating factor in combined medication for schizophrenia." J Clin Psychopharmacol 10 (1990): 54-7
Haldol Decanoate

Generic Name: haloperidol

Brand name: Haldol, Haldol Decanoate

Synonyms: n.a.

Tegretol

Generic Name: carbamazepine

Brand name: Carbatrol, Epitol, Equetro, Tegretol, Tegretol XR, Tegretol, Tegretol XR

Synonyms: n.a.

In the course of checking the drug compatibility and interactions, data from the following reference sources was used: Drugs.com, Rxlist.com, Webmd.com, Medscape.com.

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