Oxcarbazepine and Carbamazepine Interaction

Drug interaction information between Oxcarbazepine and Carbamazepine.

Oxcarbazepine and Carbamazepine have a documented minor interaction in FDA labeling.

FDA drug labeling documents a minor-severity interaction between Oxcarbazepine and Carbamazepine. This page displays the available source-record category and label text. The category is not an individual risk estimate or medication-combination direction.

Drug A

Oxcarbazepine

Anticonvulsant

Drug B

Carbamazepine

Anticonvulsant

How They Interact

Carbamazepine speeds up how your body processes oxcarbazepine, which can lead to lower levels of the drug in your system.

FDA Label Information

In addition, carbamazepine causes, or would be expected to cause, decreased levels of the following drugs, for which monitoring of concentrations or dosage adjustment may be necessary: acetaminophen, albendazole, alprazolam, aprepitant, buprenorphone, bupropion, citalopram, clonazepam, clozapine, corticosteroids (e.g., prednisolone, dexamethasone), cyclosporine, dicumarol, dihydropyridine calcium channel blockers (e.g., felodipine), doxycycline, ethosuximide, everolimus, haloperidol, imatinib, itraconazole, lamotrigine, levothyroxine, methadone, methsuximide, mianserin, midazolam,...

Frequently Asked Questions

What SPL severity band is on file for Oxcarbazepine + Carbamazepine?

Compiled FDA labeling labels this pair minor. That is a source-record field, not an individual medication-combination decision.

Which drug in this pair has the larger labeled-interaction portfolio?

Carbamazepine has 129 labeled pairs on file vs Oxcarbazepine's 18. In the minor band specifically: Oxcarbazepine has 16 (also Rifampin, Phenytoin, Phenobarbital, Bictegravir); Carbamazepine has 110 (also Omeprazole, Ibuprofen, Citalopram, Amitriptyline).

What mechanism field is on file for Oxcarbazepine and Carbamazepine?

Carbamazepine speeds up how your body processes oxcarbazepine, which can lead to lower levels of the drug in your system.

Carbamazepine carries more major-labeled pairs than Oxcarbazepine

SPL source-record counts only. This page's band is minor · classes on file: Oxcarbazepine (Anticonvulsant); Carbamazepine (Anticonvulsant).

Carbamazepine has 3 major-labeled pairs vs Oxcarbazepine's 0. This page itself is in the minor band, not the major band.

Oxcarbazepine

0 major · 2 moderate · 16 minor · 18 total

Carbamazepine

3 major · 16 moderate · 110 minor · 129 total

Sources: FDA Drug Labels (SPL) via openFDA (2026). This is for informational purposes only and is not medical advice. This registry does not provide individual medication-combination directions.