Drug interactions
Cyclosporin + Darolutamide
Severity: Moderate
Cyclosporin and Darolutamide: 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
Cyclosporine inhibits both P-gp and CYP3A4, and darolutamide is a substrate of both, so darolutamide exposure may increase. This could heighten adverse effects such as fatigue and cardiac or hepatic events.
What this interaction means in plain words
Cyclosporin and Darolutamide 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.
Cyclosporin belongs to Miscellaneous; Darolutamide belongs to Miscellaneous.
Why it happens
Combined P-gp and CYP3A4 inhibition by cyclosporine increases darolutamide absorption and reduces clearance.
What to do
Monitor for darolutamide adverse reactions and reduce the dose if they emerge. Consider an alternative immunosuppressant if feasible.
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 Cyclosporin
- Adenovirus types 4 and 7 live + Cyclosporin Contraindicated
- Aliskiren + Cyclosporin Contraindicated
- Bcg vaccine live + Cyclosporin Contraindicated
- Bosentan + Cyclosporin Contraindicated
- Cidofovir + Cyclosporin Contraindicated
- Cyclosporin + Dengue vaccine Contraindicated
Other interactions of Darolutamide
Frequently asked questions
Can I take Cyclosporin with Darolutamide?
MediHelp rates the interaction as moderate. Cyclosporin and Darolutamide 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. Cyclosporine inhibits both P-gp and CYP3A4, and darolutamide is a substrate of both, so darolutamide exposure may increase. This could heighten adverse effects such as fatigue and cardiac or hepatic events.
How serious is the interaction between Cyclosporin and Darolutamide?
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 darolutamide adverse reactions and reduce the dose if they emerge. Consider an alternative immunosuppressant if feasible.
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.
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