Drug interactions
Cyclosporin + Rosuvastatin
Severity: Major
Cyclosporin and Rosuvastatin: 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 greatly increases rosuvastatin exposure and substantially raises the risk of myopathy and rhabdomyolysis. Rosuvastatin labeling contraindicates or strictly limits use with cyclosporine.
What this interaction means in plain words
Cyclosporin and Rosuvastatin 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; Rosuvastatin belongs to Cardiovascular.
Why it happens
Cyclosporine inhibits OATP1B1 and other transporters involved in hepatic uptake of rosuvastatin.
What to do
Avoid rosuvastatin where possible, or limit to the labeled maximum dose of 5 mg daily. Use another statin with dose limits if appropriate and monitor for muscle symptoms.
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 Rosuvastatin
Frequently asked questions
Can I take Cyclosporin with Rosuvastatin?
MediHelp rates the interaction as major. Cyclosporin and Rosuvastatin 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 greatly increases rosuvastatin exposure and substantially raises the risk of myopathy and rhabdomyolysis. Rosuvastatin labeling contraindicates or strictly limits use with cyclosporine.
How serious is the interaction between Cyclosporin and Rosuvastatin?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid rosuvastatin where possible, or limit to the labeled maximum dose of 5 mg daily. Use another statin with dose limits if appropriate and monitor for muscle symptoms.
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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