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Drug interactions

Cyclosporin + Sufentanil sl

Severity: Moderate

Cyclosporin and Sufentanil sl: 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 may raise sufentanil concentrations and prolong its effects. This can cause excessive sedation and potentially fatal respiratory depression.

What this interaction means in plain words

Cyclosporin and Sufentanil sl 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: Moderate

Why it happens

Cyclosporine inhibits CYP3A4, reducing sufentanil metabolism.

What to do

Monitor respiratory rate and sedation closely and reduce the sufentanil dose frequency if needed. Reassess when cyclosporine is started or stopped.

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 Sufentanil sl?

MediHelp rates the interaction as moderate. Cyclosporin and Sufentanil sl 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 may raise sufentanil concentrations and prolong its effects. This can cause excessive sedation and potentially fatal respiratory depression.

How serious is the interaction between Cyclosporin and Sufentanil sl?

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 respiratory rate and sedation closely and reduce the sufentanil dose frequency if needed. Reassess when cyclosporine is started or stopped.

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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