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Drug interactions

Cyclosporin + Oxaliplatin

Severity: Moderate

Cyclosporin and Oxaliplatin: 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

Both agents can impair renal function and are immunosuppressive, so combination may increase the risk of renal injury and infection. Reduced oxaliplatin clearance in renal impairment may worsen neurotoxicity and myelosuppression.

What this interaction means in plain words

Cyclosporin and Oxaliplatin 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; Oxaliplatin belongs to Oncology.

Evidence level: Low

Why it happens

Additive nephrotoxicity and immunosuppression through separate pharmacodynamic effects.

What to do

Monitor serum creatinine and electrolytes before each oxaliplatin cycle and follow cyclosporine levels. Watch for infection and adjust oxaliplatin dose for renal impairment.

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 Oxaliplatin?

MediHelp rates the interaction as moderate. Cyclosporin and Oxaliplatin 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. Both agents can impair renal function and are immunosuppressive, so combination may increase the risk of renal injury and infection. Reduced oxaliplatin clearance in renal impairment may worsen neurotoxicity and myelosuppression.

How serious is the interaction between Cyclosporin and Oxaliplatin?

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 creatinine and electrolytes before each oxaliplatin cycle and follow cyclosporine levels. Watch for infection and adjust oxaliplatin dose for renal impairment.

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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