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Interactions médicamenteuses

Cyclosporin + Doxorubicin

Gravité: Majeure

Cyclosporin and Doxorubicin: major interaction.

Dernière mise à jour

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Résumé

Cyclosporin can increase doxorubicin concentrations and prolong its exposure, raising the risk of myelosuppression, mucositis and cardiotoxicity. Additive immunosuppression may also increase infection risk.

Ce que signifie cette interaction, en termes simples

Cyclosporin and Doxorubicin 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.

Cyclosporin belongs to Miscellaneous; Doxorubicin belongs to Oncology.

Niveau de preuve: Moderate

Pourquoi elle survient

Cyclosporin inhibits P-glycoprotein and CYP3A4 and may reduce clearance of doxorubicin.

Conduite à tenir

Monitor blood counts and cardiac function, and consider lowering the doxorubicin dose when the two are given together.

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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  • Additional notes
  • Evidence detail
  • Interaction checker for a whole prescription
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Questions fréquentes

Can I take Cyclosporin with Doxorubicin?

MediHelp rates the interaction as major. Cyclosporin and Doxorubicin 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. Cyclosporin can increase doxorubicin concentrations and prolong its exposure, raising the risk of myelosuppression, mucositis and cardiotoxicity. Additive immunosuppression may also increase infection risk.

How serious is the interaction between Cyclosporin and Doxorubicin?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor blood counts and cardiac function, and consider lowering the doxorubicin dose when the two are given together.

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.

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Ouvrez le référentiel complet, vérifiez les interactions entre plusieurs médicaments et utilisez les outils de posologie dans l'application MediHelp.

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