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Drug interactions

Cisapride + Hydrocortisone

Severity: Minor

Cisapride and Hydrocortisone: minor 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

Hydrocortisone is a weak CYP3A4 inducer at most, so any reduction in cisapride exposure is small and unlikely to be clinically meaningful. This does not represent a serious interaction, and a decrease in cisapride levels is not a safety concern.

What this interaction means in plain words

Cisapride and Hydrocortisone have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Cisapride belongs to Gastrointestinal Tract; Hydrocortisone belongs to Endocrine.

Evidence level: Low

Why it happens

Possible weak CYP3A4 induction, which is not well established for hydrocortisone.

What to do

No specific action is needed beyond awareness; monitor the clinical response to cisapride if long-term high-dose corticosteroids are used.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

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 Cisapride with Hydrocortisone?

MediHelp rates the interaction as minor. Cisapride and Hydrocortisone have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Hydrocortisone is a weak CYP3A4 inducer at most, so any reduction in cisapride exposure is small and unlikely to be clinically meaningful. This does not represent a serious interaction, and a decrease in cisapride levels is not a safety concern.

How serious is the interaction between Cisapride and Hydrocortisone?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No specific action is needed beyond awareness; monitor the clinical response to cisapride if long-term high-dose corticosteroids are used.

What other medicines interact with Cisapride?

MediHelp also lists interactions of Cisapride with, for example, Apomorphine, Artemether, Azithromycin. The full list is on the Cisapride page.

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

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