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Drug interactions

Cyclosporin + Magnesium chloride

Severity: Moderate

Cyclosporin and Magnesium chloride: 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 causes renal magnesium wasting and can lead to hypomagnesemia. Low magnesium may aggravate neurotoxicity such as seizures and tremor in transplant patients. Magnesium supplementation is often needed.

What this interaction means in plain words

Cyclosporin and Magnesium chloride 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.

Evidence level: High

Why it happens

Cyclosporine increases renal magnesium excretion by impairing tubular reabsorption.

What to do

Monitor serum magnesium regularly during cyclosporine therapy and replace as needed. Separate oral magnesium from other oral drugs and watch renal function when supplementing.

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 Magnesium chloride?

MediHelp rates the interaction as moderate. Cyclosporin and Magnesium chloride 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 causes renal magnesium wasting and can lead to hypomagnesemia. Low magnesium may aggravate neurotoxicity such as seizures and tremor in transplant patients. Magnesium supplementation is often needed.

How serious is the interaction between Cyclosporin and Magnesium chloride?

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 serum magnesium regularly during cyclosporine therapy and replace as needed. Separate oral magnesium from other oral drugs and watch renal function when supplementing.

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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