Drug interactions
Ciclesonide + Indinavir
Severity: Moderate
Ciclesonide and Indinavir: 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
Indinavir inhibits CYP3A4 and can increase ciclesonide exposure. Prolonged co-use raises the risk of Cushing's syndrome and adrenal suppression.
What this interaction means in plain words
Ciclesonide and Indinavir 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.
Why it happens
CYP3A4 inhibition by indinavir reduces the metabolism of ciclesonide.
What to do
Monitor for systemic corticosteroid effects with long-term use. Consider beclomethasone as an alternative.
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 Ciclesonide
- Ciclesonide + Ritonavir Major
- Apalutamide + Ciclesonide Moderate
- Atazanavir + Ciclesonide Moderate
- Ceritinib + Ciclesonide Moderate
- Ciclesonide + Clarithromycin Moderate
- Ciclesonide + Cobicistat Moderate
Frequently asked questions
Can I take Ciclesonide with Indinavir?
MediHelp rates the interaction as moderate. Ciclesonide and Indinavir 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. Indinavir inhibits CYP3A4 and can increase ciclesonide exposure. Prolonged co-use raises the risk of Cushing's syndrome and adrenal suppression.
How serious is the interaction between Ciclesonide and Indinavir?
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 for systemic corticosteroid effects with long-term use. Consider beclomethasone as an alternative.
What other medicines interact with Ciclesonide?
MediHelp also lists interactions of Ciclesonide with, for example, Ritonavir, Apalutamide, Atazanavir. The full list is on the Ciclesonide page.
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