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Interactions médicamenteuses

Cyclosporin + Revefenacin

Gravité: Majeure

Cyclosporin and Revefenacin: major interaction.

Dernière mise à jour

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Résumé

Cyclosporine inhibits hepatic uptake transporters OATP1B1 and OATP1B3, which can raise systemic exposure to the active metabolite of inhaled revefenacin. Higher exposure could increase anticholinergic adverse effects such as dry mouth, urinary retention and tachycardia.

Ce que signifie cette interaction, en termes simples

Cyclosporin and Revefenacin 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; Revefenacin belongs to Respiratory.

Niveau de preuve: Moderate

Pourquoi elle survient

Cyclosporine inhibits OATP1B1/OATP1B3-mediated uptake, reducing hepatic clearance of revefenacin's active metabolite.

Conduite à tenir

Coadministration is not recommended per labeling; choose an alternative long-acting bronchodilator if cyclosporine is needed. If unavoidable, monitor for anticholinergic effects.

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 Revefenacin?

MediHelp rates the interaction as major. Cyclosporin and Revefenacin 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 inhibits hepatic uptake transporters OATP1B1 and OATP1B3, which can raise systemic exposure to the active metabolite of inhaled revefenacin. Higher exposure could increase anticholinergic adverse effects such as dry mouth, urinary retention and tachycardia.

How serious is the interaction between Cyclosporin and Revefenacin?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Coadministration is not recommended per labeling; choose an alternative long-acting bronchodilator if cyclosporine is needed. If unavoidable, monitor for anticholinergic effects.

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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