Drug interactions
Cyclosporine + Upadacitinib
Severity: Contraindicated
Cyclosporine and Upadacitinib: contraindicated 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 is a potent immunosuppressant, and combined with upadacitinib it increases the risk of serious infection and malignancy. Upadacitinib labeling advises against use with potent immunosuppressants such as cyclosporine.
What this interaction means in plain words
Cyclosporine and Upadacitinib are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.
Why it happens
Additive immunosuppression through calcineurin and JAK inhibition.
What to do
Avoid the combination. Choose a regimen that does not pair a JAK inhibitor with cyclosporine.
What to ask your pharmacist
- Is there an alternative to one of these two medicines for me?
- If both are essential, who is monitoring me and how often?
- Which symptoms mean I should stop and seek help straight away?
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Other interactions of Upadacitinib
- Abrocitinib + Upadacitinib Contraindicated
- Adenovirus types 4 and 7 live + Upadacitinib Contraindicated
- Baricitinib + Upadacitinib Contraindicated
- Bcg vaccine live + Upadacitinib Contraindicated
- Dengue vaccine + Upadacitinib Contraindicated
- Influenza virus vaccine quadrivalent intranasal + Upadacitinib Contraindicated
Frequently asked questions
Can I take Cyclosporine with Upadacitinib?
MediHelp rates the interaction as contraindicated. Cyclosporine and Upadacitinib are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Cyclosporine is a potent immunosuppressant, and combined with upadacitinib it increases the risk of serious infection and malignancy. Upadacitinib labeling advises against use with potent immunosuppressants such as cyclosporine.
How serious is the interaction between Cyclosporine and Upadacitinib?
MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination. Choose a regimen that does not pair a JAK inhibitor with cyclosporine.
What other medicines interact with Upadacitinib?
MediHelp also lists interactions of Upadacitinib with, for example, Abrocitinib, Adenovirus types 4 and 7 live, Baricitinib. The full list is on the Upadacitinib page.
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