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Drug interactions

Aluminum hydroxide + Cyclosporine

Severity: Moderate

Aluminum hydroxide and Cyclosporine: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Antacids may reduce cyclosporine absorption, though data are limited and inconsistent. A drop in levels could risk rejection in transplant patients.

What this interaction means in plain words

Aluminum hydroxide and Cyclosporine can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Evidence level: Low

Why it happens

Possible reduced GI absorption through binding or pH changes.

What to do

Separate doses by at least 2 hours and monitor cyclosporine trough levels when antacid use starts or stops.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Aluminum hydroxide with Cyclosporine?

MediHelp rates the interaction as moderate. Aluminum hydroxide and Cyclosporine can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Antacids may reduce cyclosporine absorption, though data are limited and inconsistent. A drop in levels could risk rejection in transplant patients.

How serious is the interaction between Aluminum hydroxide and Cyclosporine?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Separate doses by at least 2 hours and monitor cyclosporine trough levels when antacid use starts or stops.

What other medicines interact with Aluminum hydroxide?

MediHelp also lists interactions of Aluminum hydroxide with, for example, Ciprofloxacin, Deferasirox, Dolutegravir. The full list is on the Aluminum hydroxide page.

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