Interactions médicamenteuses
Cyclosporine + Simvastatin
Gravité: Contre-indiquée
Cyclosporine and Simvastatin: contraindicated interaction.
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Résumé
Cyclosporine markedly raises simvastatin acid exposure, which greatly increases the risk of myopathy and rhabdomyolysis. Cases of severe muscle toxicity with renal failure have been described with statin and cyclosporine combinations.
Ce que signifie cette interaction, en termes simples
Cyclosporine and Simvastatin are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.
Pourquoi elle survient
Cyclosporine inhibits OATP1B1-mediated hepatic uptake and CYP3A4 metabolism of simvastatin, raising systemic statin concentrations.
Conduite à tenir
Do not combine simvastatin with cyclosporine; choose a statin with a safer profile (such as low-dose pravastatin or fluvastatin, per labeling) and monitor for muscle symptoms and CK.
Questions à poser à votre pharmacien
- Is there an alternative to one of these two medicines for me?
- If both are essential, who is monitoring me and how often?
- Which symptoms mean I should stop and seek help straight away?
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Autres interactions de Simvastatin
- Atazanavir + Simvastatin Contre-indiquée
- Clarithromycin + Simvastatin Contre-indiquée
- Cobicistat + Simvastatin Contre-indiquée
- Cyclosporin + Simvastatin Contre-indiquée
- Danazol + Simvastatin Contre-indiquée
- Darunavir + Simvastatin Contre-indiquée
Questions fréquentes
Can I take Cyclosporine with Simvastatin?
MediHelp rates the interaction as contraindicated. Cyclosporine and Simvastatin are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Cyclosporine markedly raises simvastatin acid exposure, which greatly increases the risk of myopathy and rhabdomyolysis. Cases of severe muscle toxicity with renal failure have been described with statin and cyclosporine combinations.
How serious is the interaction between Cyclosporine and Simvastatin?
MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not combine simvastatin with cyclosporine; choose a statin with a safer profile (such as low-dose pravastatin or fluvastatin, per labeling) and monitor for muscle symptoms and CK.
What other medicines interact with Simvastatin?
MediHelp also lists interactions of Simvastatin with, for example, Atazanavir, Clarithromycin, Cobicistat. The full list is on the Simvastatin page.
Monographies complètes, posologies et vérificateur d'interactions dans l'application MediHelp
Ouvrez le référentiel complet, vérifiez les interactions entre plusieurs médicaments et utilisez les outils de posologie dans l'application MediHelp.
