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Interactions médicamenteuses

Cyclosporin + Irinotecan

Gravité: Majeure

Cyclosporin and Irinotecan: major interaction.

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Résumé

Cyclosporine can raise exposure to irinotecan and its active metabolite SN-38, increasing the risk of severe diarrhea and myelosuppression. Irinotecan clearance depends on CYP3A4, transporters and biliary excretion.

Ce que signifie cette interaction, en termes simples

Cyclosporin and Irinotecan 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; Irinotecan belongs to Oncology.

Niveau de preuve: Moderate

Pourquoi elle survient

Cyclosporine inhibits P-glycoprotein, MRP2 and CYP3A4, reducing irinotecan and SN-38 clearance.

Conduite à tenir

Avoid concurrent use where possible, or reduce the irinotecan dose. Monitor closely for diarrhea and neutropenia with regular blood counts.

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 Cyclosporin with Irinotecan?

MediHelp rates the interaction as major. Cyclosporin and Irinotecan 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. Cyclosporine can raise exposure to irinotecan and its active metabolite SN-38, increasing the risk of severe diarrhea and myelosuppression. Irinotecan clearance depends on CYP3A4, transporters and biliary excretion.

How serious is the interaction between Cyclosporin and Irinotecan?

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 concurrent use where possible, or reduce the irinotecan dose. Monitor closely for diarrhea and neutropenia with regular blood counts.

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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