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Drug interactions

Cyclosporin + Tezacaftor

Severity: Moderate

Cyclosporin and Tezacaftor: 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, a moderate CYP3A inhibitor, can increase tezacaftor exposure, raising the chance of adverse effects. The tezacaftor/ivacaftor regimen requires dose changes with such inhibitors.

What this interaction means in plain words

Cyclosporin and Tezacaftor 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 metabolism of tezacaftor and ivacaftor.

What to do

Reduce the tezacaftor/ivacaftor dosing frequency per labeling for moderate CYP3A inhibitors and monitor for adverse effects.

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 Tezacaftor?

MediHelp rates the interaction as moderate. Cyclosporin and Tezacaftor 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, a moderate CYP3A inhibitor, can increase tezacaftor exposure, raising the chance of adverse effects. The tezacaftor/ivacaftor regimen requires dose changes with such inhibitors.

How serious is the interaction between Cyclosporin and Tezacaftor?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Reduce the tezacaftor/ivacaftor dosing frequency per labeling for moderate CYP3A inhibitors and monitor for adverse effects.

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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