Drug interactions
Celecoxib + Cyclosporin
Severity: Major
Celecoxib and Cyclosporin: 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
NSAIDs including celecoxib reduce renal prostaglandin synthesis, which can worsen cyclosporine-induced renal vasoconstriction. This may cause a decline in kidney function, fluid retention and hypertension.
What this interaction means in plain words
Celecoxib and Cyclosporin 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.
Celecoxib belongs to Musculoskeletal; Cyclosporin belongs to Miscellaneous.
Why it happens
Additive renal hemodynamic impairment from prostaglandin inhibition plus calcineurin inhibitor vasoconstriction.
What to do
Avoid prolonged combined use where possible and monitor serum creatinine and blood pressure. Stop the NSAID if renal function declines.
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 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 Celecoxib
- Celecoxib + Ketorolac Contraindicated
- Celecoxib + Ketorolac intranasal Contraindicated
- Aceclofenac + Celecoxib Major
- Acemetacin + Celecoxib Major
- Amiloride + Celecoxib Major
- Apixaban + Celecoxib Major
Frequently asked questions
Can I take Celecoxib with Cyclosporin?
MediHelp rates the interaction as major. Celecoxib and Cyclosporin 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. NSAIDs including celecoxib reduce renal prostaglandin synthesis, which can worsen cyclosporine-induced renal vasoconstriction. This may cause a decline in kidney function, fluid retention and hypertension.
How serious is the interaction between Celecoxib and Cyclosporin?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid prolonged combined use where possible and monitor serum creatinine and blood pressure. Stop the NSAID if renal function declines.
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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