Drug interactions
Cyclosporin + Eluxadoline
Severity: Major
Cyclosporin and Eluxadoline: 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 inhibits OATP1B1 and can markedly increase eluxadoline exposure. This raises the risk of eluxadoline adverse effects such as constipation, pancreatitis, nausea and CNS effects.
What this interaction means in plain words
Cyclosporin and Eluxadoline 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; Eluxadoline belongs to Gastrointestinal Tract.
Why it happens
Cyclosporine inhibits hepatic OATP1B1 uptake of eluxadoline, increasing systemic concentrations.
What to do
Reduce eluxadoline to 75 mg twice daily if coadministration is needed. Monitor for pancreatitis symptoms, constipation and sedation, or choose an alternative agent.
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 Eluxadoline
Frequently asked questions
Can I take Cyclosporin with Eluxadoline?
MediHelp rates the interaction as major. Cyclosporin and Eluxadoline 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 inhibits OATP1B1 and can markedly increase eluxadoline exposure. This raises the risk of eluxadoline adverse effects such as constipation, pancreatitis, nausea and CNS effects.
How serious is the interaction between Cyclosporin and Eluxadoline?
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 eluxadoline to 75 mg twice daily if coadministration is needed. Monitor for pancreatitis symptoms, constipation and sedation, or choose an alternative agent.
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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