Drug interactions

clarithromycin + cyclosporine

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.

Overview

Severity: Major · Evidence level: High

↑ cyclosporine levels → nephrotoxicity.

Mechanism of action

CYP3A4/P-gp inhibition.

Clinical management

Avoid or reduce dose; monitor levels and renal function.

Drug reference

References

Frequently asked questions

Can I take clarithromycin with cyclosporine?

The interaction is rated: Major. ↑ cyclosporine levels → nephrotoxicity.

How serious is the interaction between clarithromycin and cyclosporine?

The interaction is rated: Major. Evidence level: High.

How is the interaction between clarithromycin and cyclosporine managed?

Avoid or reduce dose; monitor levels and renal function.

Why do clarithromycin and cyclosporine interact?

CYP3A4/P-gp inhibition.

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