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Drug interactions

Celecoxib + Voclosporin

Severity: Moderate

Celecoxib and Voclosporin: 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

Voclosporin is a calcineurin inhibitor that can reduce GFR and cause nephrotoxicity. NSAIDs also impair renal hemodynamics, so combined use raises the risk of acute kidney injury and hyperkalemia.

What this interaction means in plain words

Celecoxib and Voclosporin 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.

Celecoxib belongs to Musculoskeletal; Voclosporin belongs to Miscellaneous.

Evidence level: Moderate

Why it happens

Additive renal vasoconstriction from calcineurin inhibition and NSAID prostaglandin inhibition.

What to do

Avoid regular NSAID use where possible and monitor eGFR, creatinine and potassium closely. Adjust voclosporin dosing per labeling if renal function declines.

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 Celecoxib with Voclosporin?

MediHelp rates the interaction as moderate. Celecoxib and Voclosporin 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. Voclosporin is a calcineurin inhibitor that can reduce GFR and cause nephrotoxicity. NSAIDs also impair renal hemodynamics, so combined use raises the risk of acute kidney injury and hyperkalemia.

How serious is the interaction between Celecoxib and Voclosporin?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid regular NSAID use where possible and monitor eGFR, creatinine and potassium closely. Adjust voclosporin dosing per labeling if renal function declines.

What other medicines interact with Celecoxib?

MediHelp also lists interactions of Celecoxib with, for example, Ketorolac, Ketorolac intranasal, Aceclofenac. The full list is on the Celecoxib page.

Full monographs, dosing and an interaction checker in the MediHelp app

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