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Drug interactions

Chloroquine + Cyclosporin

Severity: Moderate

Chloroquine 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

Chloroquine has been reported to raise cyclosporine concentrations, which may increase the risk of nephrotoxicity and other toxicity. The data consist mainly of case reports.

What this interaction means in plain words

Chloroquine 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.

Chloroquine belongs to Anti Parasitic; Cyclosporin belongs to Miscellaneous.

Evidence level: Low

Why it happens

Possible inhibition of cyclosporine metabolism by chloroquine; the mechanism is not firmly established.

What to do

Monitor cyclosporine trough levels and renal function when chloroquine is added, and reduce the cyclosporine dose if levels rise.

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 Chloroquine with Cyclosporin?

MediHelp rates the interaction as moderate. Chloroquine 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. Chloroquine has been reported to raise cyclosporine concentrations, which may increase the risk of nephrotoxicity and other toxicity. The data consist mainly of case reports.

How serious is the interaction between Chloroquine 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 chloroquine is added, and reduce the cyclosporine dose if levels rise.

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.

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

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