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تداخل‌های دارویی

Cyclosporine + Rifaximin

شدت: متوسط

Cyclosporine and Rifaximin: moderate interaction.

آخرین به‌روزرسانی

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محتوای بالینی این صفحه فقط به زبان انگلیسی موجود است.

خلاصه

Cyclosporine strongly inhibits P-glycoprotein and caused very large increases in rifaximin systemic exposure in healthy volunteers. This could matter in patients with impaired gut barrier or liver disease, where rifaximin exposure is already higher.

معنای این تداخل به زبان ساده

Cyclosporine and Rifaximin 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.

سطح شواهد: High

چرا رخ می‌دهد

Cyclosporine inhibition of P-glycoprotein markedly increases rifaximin absorption.

اقدام لازم

Use together only if the benefit justifies it and monitor for rifaximin adverse effects. Avoid or reassess in patients with severe hepatic impairment.

از داروساز چه بپرسید

  • 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.

ویژه اعضای Pro+

باز کردن کل صفحه

یک حساب بسازید و دوره آزمایشی Pro+ را شروع کنید تا توصیه‌های کامل مدیریت Cyclosporine و Rifaximin، یادداشت‌های تکمیلی، جزئیات شواهد و بررسی‌کننده تداخل برای کل نسخه را باز کنید.

  • Full clinical management advice
  • Additional notes
  • Evidence detail
  • Interaction checker for a whole prescription

Pro+ را ۷ روز رایگان در وب امتحان کنید. بدون نیاز به کارت.

پرسش‌های متداول

Can I take Cyclosporine with Rifaximin?

MediHelp rates the interaction as moderate. Cyclosporine and Rifaximin 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 strongly inhibits P-glycoprotein and caused very large increases in rifaximin systemic exposure in healthy volunteers. This could matter in patients with impaired gut barrier or liver disease, where rifaximin exposure is already higher.

How serious is the interaction between Cyclosporine and Rifaximin?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Use together only if the benefit justifies it and monitor for rifaximin adverse effects. Avoid or reassess in patients with severe hepatic impairment.

What other medicines interact with Rifaximin?

MediHelp also lists interactions of Rifaximin with, for example, Cholera vaccine, Microbiota, Amiodarone. The full list is on the Rifaximin page.

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