Drug interactions
Armodafinil + Cyclosporine
Severity: Major
Armodafinil and Cyclosporine: major 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
Armodafinil may lower cyclosporine concentrations through enzyme induction. Reduced levels of this narrow-therapeutic-index drug could risk graft rejection.
What this interaction means in plain words
Armodafinil and Cyclosporine can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.
Why it happens
Armodafinil induces CYP3A4, which increases the metabolism of cyclosporine.
What to do
Measure cyclosporine trough levels after armodafinil is started or stopped and adjust the dose accordingly. Watch for signs of rejection.
What to ask your pharmacist
- Does the benefit of taking both outweigh the risk in my case?
- Do I need any blood test, ECG or other check while on both?
- What early warning signs should I watch for, and what should I do if they appear?
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Other interactions of Armodafinil
Frequently asked questions
Can I take Armodafinil with Cyclosporine?
MediHelp rates the interaction as major. Armodafinil and Cyclosporine can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Armodafinil may lower cyclosporine concentrations through enzyme induction. Reduced levels of this narrow-therapeutic-index drug could risk graft rejection.
How serious is the interaction between Armodafinil and Cyclosporine?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Measure cyclosporine trough levels after armodafinil is started or stopped and adjust the dose accordingly. Watch for signs of rejection.
What other medicines interact with Armodafinil?
MediHelp also lists interactions of Armodafinil with, for example, Avapritinib, Elacestrant, Elbasvir / grazoprevir. The full list is on the Armodafinil page.
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