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Interactions médicamenteuses

Cyclosporin + Selexipag

Gravité: Modérée

Cyclosporin and Selexipag: moderate interaction.

Dernière mise à jour

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Résumé

Cyclosporine inhibits BCRP and other transporters involved in selexipag disposition, which may increase exposure to selexipag and its active metabolite. This could increase prostacyclin-type adverse effects such as headache, hypotension and diarrhea.

Ce que signifie cette interaction, en termes simples

Cyclosporin and Selexipag can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Cyclosporin belongs to Miscellaneous; Selexipag belongs to Cardiovascular.

Niveau de preuve: Low

Pourquoi elle survient

Inhibition of ABCG2 (BCRP) and possibly other transporters or enzymes by cyclosporine raises selexipag exposure.

Conduite à tenir

Monitor for selexipag adverse effects and reduce the dose or lengthen the dosing interval if poorly tolerated.

Questions à poser à votre pharmacien

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

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 Selexipag?

MediHelp rates the interaction as moderate. Cyclosporin and Selexipag can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Cyclosporine inhibits BCRP and other transporters involved in selexipag disposition, which may increase exposure to selexipag and its active metabolite. This could increase prostacyclin-type adverse effects such as headache, hypotension and diarrhea.

How serious is the interaction between Cyclosporin and Selexipag?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for selexipag adverse effects and reduce the dose or lengthen the dosing interval if poorly tolerated.

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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