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Interactions médicamenteuses

Chenodeoxycholic acid + Cyclosporin

Gravité: Majeure

Chenodeoxycholic acid and Cyclosporin: major interaction.

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Résumé

Ciclosporin may inhibit CYP27A1 and reduce bile acid synthesis, which may blunt the effect of chenodeoxycholic acid in conditions like cerebrotendinous xanthomatosis. Disease control could worsen.

Ce que signifie cette interaction, en termes simples

Chenodeoxycholic acid and Cyclosporin 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.

Chenodeoxycholic acid belongs to Gastrointestinal Tract; Cyclosporin belongs to Miscellaneous.

Niveau de preuve: Low

Pourquoi elle survient

Inhibition of CYP27A1 by ciclosporin reduces bile acid synthesis and alters pharmacodynamic response.

Conduite à tenir

Avoid if possible; otherwise monitor serum bile alcohols and adjust the chenodeoxycholic acid dose.

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 Chenodeoxycholic acid with Cyclosporin?

MediHelp rates the interaction as major. Chenodeoxycholic acid and Cyclosporin 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. Ciclosporin may inhibit CYP27A1 and reduce bile acid synthesis, which may blunt the effect of chenodeoxycholic acid in conditions like cerebrotendinous xanthomatosis. Disease control could worsen.

How serious is the interaction between Chenodeoxycholic acid and Cyclosporin?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid if possible; otherwise monitor serum bile alcohols and adjust the chenodeoxycholic acid dose.

What other medicines interact with Chenodeoxycholic acid?

MediHelp also lists interactions of Chenodeoxycholic acid with, for example, Sirolimus, Aluminum hydroxide, Colestipol. The full list is on the Chenodeoxycholic acid page.

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