.

CARBAMAZEPINE AND GRAPEFRUIT JUICE

Medical Diagnosis and Drugs, Medications
Grapefruit juice increases carbamazepine levels by about 40%. A case of possible carbamazepine toxicity has been seen in a man taking carbamazepine after he started to eat grapefruit.
The manufacturers advise monitoring levels and adjusting the dose of carbama- zepine as necessary. If monitoring is not practical, or regular intake of grapefruit is not desired, it would seem prudent to avoid grapefruit or grapefruit juice.
(6)