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Drug interactions

Cyclosporin + Streptozocin

Severity: Major

Cyclosporin and Streptozocin: 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

Both drugs are nephrotoxic, and streptozocin commonly causes dose-related renal injury. Combined use may increase the risk and severity of kidney damage.

What this interaction means in plain words

Cyclosporin and Streptozocin 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.

Evidence level: Moderate

Why it happens

Additive nephrotoxicity: cyclosporine causes afferent arteriolar vasoconstriction while streptozocin causes direct tubular toxicity.

What to do

Avoid the combination where possible. If unavoidable, monitor serum creatinine, electrolytes and urine protein frequently and hold or reduce doses if renal function declines.

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?

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 Streptozocin?

MediHelp rates the interaction as major. Cyclosporin and Streptozocin 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. Both drugs are nephrotoxic, and streptozocin commonly causes dose-related renal injury. Combined use may increase the risk and severity of kidney damage.

How serious is the interaction between Cyclosporin and Streptozocin?

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 the combination where possible. If unavoidable, monitor serum creatinine, electrolytes and urine protein frequently and hold or reduce doses if renal function declines.

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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