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Drug interactions

Cyclosporin + Glofitamab

Severity: Moderate

Cyclosporin and Glofitamab: 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

Glofitamab induces cytokine release that can temporarily suppress CYP450 activity. Cyclosporine exposure may rise, increasing nephrotoxicity and neurotoxicity risk, especially around cytokine release syndrome.

What this interaction means in plain words

Cyclosporin and Glofitamab 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; Glofitamab belongs to Oncology.

Evidence level: Moderate

Why it happens

Cytokine-mediated suppression of CYP3A4 reduces cyclosporine metabolism.

What to do

Monitor cyclosporine trough levels and renal function at glofitamab initiation and during CRS, adjusting the dose as needed.

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?

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 Glofitamab?

MediHelp rates the interaction as moderate. Cyclosporin and Glofitamab 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. Glofitamab induces cytokine release that can temporarily suppress CYP450 activity. Cyclosporine exposure may rise, increasing nephrotoxicity and neurotoxicity risk, especially around cytokine release syndrome.

How serious is the interaction between Cyclosporin and Glofitamab?

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 cyclosporine trough levels and renal function at glofitamab initiation and during CRS, adjusting the dose as needed.

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

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