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Drug interactions

Cyclosporin + Fesoterodine

Severity: Minor

Cyclosporin and Fesoterodine: minor 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

Cyclosporin may modestly increase exposure to fesoterodine's active metabolite, intensifying anticholinergic effects such as dry mouth and constipation. The effect is usually small with weak to moderate CYP3A4 inhibitors.

What this interaction means in plain words

Cyclosporin and Fesoterodine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Cyclosporin belongs to Miscellaneous; Fesoterodine belongs to Genitourinary.

Evidence level: Low

Why it happens

Cyclosporin inhibits CYP3A4, a secondary pathway for fesoterodine's active metabolite.

What to do

No dose change is usually needed; monitor for anticholinergic adverse effects.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Cyclosporin with Fesoterodine?

MediHelp rates the interaction as minor. Cyclosporin and Fesoterodine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Cyclosporin may modestly increase exposure to fesoterodine's active metabolite, intensifying anticholinergic effects such as dry mouth and constipation. The effect is usually small with weak to moderate CYP3A4 inhibitors.

How serious is the interaction between Cyclosporin and Fesoterodine?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No dose change is usually needed; monitor for anticholinergic adverse effects.

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.

Full monographs, dosing and an interaction checker in the MediHelp app

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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