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Interazioni tra farmaci

Caspofungin + Cyclosporin

Gravità: Moderata

Caspofungin and Cyclosporin: moderate interaction.

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Sintesi

Cyclosporine raises caspofungin exposure, and transient elevations of liver transaminases have been seen with the combination. Caspofungin does not materially change cyclosporine levels.

Cosa significa questa interazione in parole semplici

Caspofungin and Cyclosporin 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.

Caspofungin belongs to Anti Fungals; Cyclosporin belongs to Miscellaneous.

Livello di evidenza: High

Perché avviene

Cyclosporine inhibits OATP1B1-mediated hepatic uptake of caspofungin, raising its plasma concentrations.

Cosa fare

Monitor liver enzymes during concurrent therapy and discontinue if clinically significant hepatotoxicity develops.

Cosa chiedere al farmacista

  • 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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Domande frequenti

Can I take Caspofungin with Cyclosporin?

MediHelp rates the interaction as moderate. Caspofungin and Cyclosporin 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 raises caspofungin exposure, and transient elevations of liver transaminases have been seen with the combination. Caspofungin does not materially change cyclosporine levels.

How serious is the interaction between Caspofungin and Cyclosporin?

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 liver enzymes during concurrent therapy and discontinue if clinically significant hepatotoxicity develops.

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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