Drug interactions
Cyclosporin + Selexipag
Severity: Moderate
Cyclosporin and Selexipag: 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 inhibits BCRP and other transporters involved in selexipag disposition, which may increase exposure to selexipag and its active metabolite. This could increase prostacyclin-type adverse effects such as headache, hypotension and diarrhea.
What this interaction means in plain words
Cyclosporin and Selexipag 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; Selexipag belongs to Cardiovascular.
Why it happens
Inhibition of ABCG2 (BCRP) and possibly other transporters or enzymes by cyclosporine raises selexipag exposure.
What to do
Monitor for selexipag adverse effects and reduce the dose or lengthen the dosing interval if poorly tolerated.
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?
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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 Selexipag
- Gemfibrozil + Selexipag Contraindicated
- Abiraterone + Selexipag Moderate
- Apalutamide + Selexipag Moderate
- Carbamazepine + Selexipag Moderate
- Clopidogrel + Selexipag Moderate
- Deferasirox + Selexipag Moderate
Frequently asked questions
Can I take Cyclosporin with Selexipag?
MediHelp rates the interaction as moderate. Cyclosporin and Selexipag 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 inhibits BCRP and other transporters involved in selexipag disposition, which may increase exposure to selexipag and its active metabolite. This could increase prostacyclin-type adverse effects such as headache, hypotension and diarrhea.
How serious is the interaction between Cyclosporin and Selexipag?
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 for selexipag adverse effects and reduce the dose or lengthen the dosing interval if poorly tolerated.
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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