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Interactions médicamenteuses

Armodafinil + Cyclosporine

Gravité: Majeure

Armodafinil and Cyclosporine: major interaction.

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Résumé

Armodafinil may lower cyclosporine concentrations through enzyme induction. Reduced levels of this narrow-therapeutic-index drug could risk graft rejection.

Ce que signifie cette interaction, en termes simples

Armodafinil and Cyclosporine 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.

Niveau de preuve: Moderate

Pourquoi elle survient

Armodafinil induces CYP3A4, which increases the metabolism of cyclosporine.

Conduite à tenir

Measure cyclosporine trough levels after armodafinil is started or stopped and adjust the dose accordingly. Watch for signs of rejection.

Questions à poser à votre pharmacien

  • 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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Questions fréquentes

Can I take Armodafinil with Cyclosporine?

MediHelp rates the interaction as major. Armodafinil and Cyclosporine 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. Armodafinil may lower cyclosporine concentrations through enzyme induction. Reduced levels of this narrow-therapeutic-index drug could risk graft rejection.

How serious is the interaction between Armodafinil and Cyclosporine?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Measure cyclosporine trough levels after armodafinil is started or stopped and adjust the dose accordingly. Watch for signs of rejection.

What other medicines interact with Armodafinil?

MediHelp also lists interactions of Armodafinil with, for example, Avapritinib, Elacestrant, Elbasvir / grazoprevir. The full list is on the Armodafinil page.

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