Carmaz Carbamazepine Tolvaptan
MajorTolvaptan is broken down by a liver enzyme system called CYP 3A. Carbamazepine is a CYP 3A inducer, which means it speeds up that system. If you take the two together, the level of Tolvaptan in your blood can fall, and Tolvaptan may then work less well. The leaflet says to avoid taking them together. Other CYP 3A inducers named in the leaflet include Rifampin, Rifabutin, Rifapentin, Barbiturates and Phenytoin. The leaflet refers to the Tolvaptan brand as Tolvan.
These medicines can affect each other in a serious way. Do not start taking them together unless your doctor has said it is OK. If you already take both, do not stop either one on your own: speak to your doctor or pharmacist soon.