Drug interactions
Aprepitant + Cyclosporin
Severity: Moderate
Aprepitant and Cyclosporin: 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
Aprepitant is a moderate CYP3A4 inhibitor and may increase cyclosporine exposure, and cyclosporine may in turn raise aprepitant levels. Increased cyclosporine levels could cause nephrotoxicity or neurotoxicity.
What this interaction means in plain words
Aprepitant and Cyclosporin 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.
Aprepitant belongs to Gastrointestinal Tract; Cyclosporin belongs to Miscellaneous.
Why it happens
Mutual competition for and inhibition of CYP3A4 metabolism.
What to do
Monitor cyclosporine trough levels and renal function when aprepitant is given, particularly with repeated dosing, and adjust the cyclosporine dose if needed.
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?
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Other interactions of Cyclosporin
- Adenovirus types 4 and 7 live + Cyclosporin Contraindicated
- Aliskiren + Cyclosporin Contraindicated
- Bcg vaccine live + Cyclosporin Contraindicated
- Bosentan + Cyclosporin Contraindicated
- Cidofovir + Cyclosporin Contraindicated
- Cyclosporin + Dengue vaccine Contraindicated
Other interactions of Aprepitant
- Aprepitant + Lomitapide Contraindicated
- Aprepitant + Pimozide Contraindicated
- Aprepitant + Avapritinib Major
- Aprepitant + Bosutinib Major
- Aprepitant + Carbamazepine Major
- Aprepitant + Cobicistat Major
Frequently asked questions
Can I take Aprepitant with Cyclosporin?
MediHelp rates the interaction as moderate. Aprepitant and Cyclosporin 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. Aprepitant is a moderate CYP3A4 inhibitor and may increase cyclosporine exposure, and cyclosporine may in turn raise aprepitant levels. Increased cyclosporine levels could cause nephrotoxicity or neurotoxicity.
How serious is the interaction between Aprepitant and Cyclosporin?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor cyclosporine trough levels and renal function when aprepitant is given, particularly with repeated dosing, and adjust the cyclosporine dose if needed.
What other medicines interact with Cyclosporin?
MediHelp also lists interactions of Cyclosporin with, for example, Adenovirus types 4 and 7 live, Aliskiren, Bcg vaccine live. The full list is on the Cyclosporin page.
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