Drug interactions
Cyclosporin + Daunorubicin
Severity: Major
Cyclosporin and Daunorubicin: 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
Cyclosporine can increase daunorubicin exposure and prolong its effects, increasing myelosuppression, mucositis and cardiotoxicity. It has been used deliberately to overcome drug resistance, which requires dose consideration.
What this interaction means in plain words
Cyclosporin and Daunorubicin 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.
Cyclosporin belongs to Miscellaneous; Daunorubicin belongs to Oncology.
Why it happens
Cyclosporine inhibits P-glycoprotein efflux, reducing daunorubicin clearance.
What to do
Monitor blood counts and cardiac function closely and consider reducing the daunorubicin dose.
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 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 Daunorubicin
- Adenovirus types 4 and 7 live + Daunorubicin Contraindicated
- Belatacept + Daunorubicin Major
- Cyclosporine + Daunorubicin Major
- Daunorubicin + Dengue vaccine Major
- Daunorubicin + Etrasimod Major
- Daunorubicin + Fingolimod Major
Frequently asked questions
Can I take Cyclosporin with Daunorubicin?
MediHelp rates the interaction as major. Cyclosporin and Daunorubicin 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. Cyclosporine can increase daunorubicin exposure and prolong its effects, increasing myelosuppression, mucositis and cardiotoxicity. It has been used deliberately to overcome drug resistance, which requires dose consideration.
How serious is the interaction between Cyclosporin and Daunorubicin?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor blood counts and cardiac function closely and consider reducing the daunorubicin dose.
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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