Drug interactions
Clotrimazole + Voclosporin
Severity: Major
Clotrimazole and Voclosporin: major 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
Systemic clotrimazole may inhibit CYP3A4 and increase voclosporin exposure. This raises the risk of nephrotoxicity, hypertension, hyperkalemia and over-immunosuppression.
What this interaction means in plain words
Clotrimazole and Voclosporin can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.
Clotrimazole belongs to Anti Fungals; Voclosporin belongs to Miscellaneous.
Why it happens
Inhibition of CYP3A4-mediated metabolism of voclosporin.
What to do
Reduce the voclosporin dose per labeling for moderate CYP3A4 inhibitors and monitor renal function, potassium and blood pressure.
What to ask your pharmacist
- Does the benefit of taking both outweigh the risk in my case?
- Do I need any blood test, ECG or other check while on both?
- What early warning signs should I watch for, and what should I do if they appear?
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Other interactions of Clotrimazole
- Clotrimazole + Lomitapide Major
- Clotrimazole + Mavacamten Major
- Clotrimazole + Mobocertinib Major
- Bosutinib + Clotrimazole Moderate
- Cannabidiol + Clotrimazole Moderate
- Clotrimazole + Cyclosporine Moderate
Other interactions of Voclosporin
- Clarithromycin + Voclosporin Contraindicated
- Cyclosporin + Voclosporin Contraindicated
- Ensitrelvir + Voclosporin Contraindicated
- Itraconazole + Voclosporin Contraindicated
- Ketoconazole + Voclosporin Contraindicated
- Posaconazole + Voclosporin Contraindicated
Frequently asked questions
Can I take Clotrimazole with Voclosporin?
MediHelp rates the interaction as major. Clotrimazole and Voclosporin can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Systemic clotrimazole may inhibit CYP3A4 and increase voclosporin exposure. This raises the risk of nephrotoxicity, hypertension, hyperkalemia and over-immunosuppression.
How serious is the interaction between Clotrimazole and Voclosporin?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Reduce the voclosporin dose per labeling for moderate CYP3A4 inhibitors and monitor renal function, potassium and blood pressure.
What other medicines interact with Clotrimazole?
MediHelp also lists interactions of Clotrimazole with, for example, Lomitapide, Mavacamten, Mobocertinib. The full list is on the Clotrimazole page.
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