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Interazioni tra farmaci

Cyclosporin + Eluxadoline

Gravità: Maggiore

Cyclosporin and Eluxadoline: major interaction.

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Sintesi

Cyclosporine inhibits OATP1B1 and can markedly increase eluxadoline exposure. This raises the risk of eluxadoline adverse effects such as constipation, pancreatitis, nausea and CNS effects.

Cosa significa questa interazione in parole semplici

Cyclosporin and Eluxadoline 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; Eluxadoline belongs to Gastrointestinal Tract.

Livello di evidenza: Moderate

Perché avviene

Cyclosporine inhibits hepatic OATP1B1 uptake of eluxadoline, increasing systemic concentrations.

Cosa fare

Reduce eluxadoline to 75 mg twice daily if coadministration is needed. Monitor for pancreatitis symptoms, constipation and sedation, or choose an alternative agent.

Cosa chiedere al farmacista

  • 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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Domande frequenti

Can I take Cyclosporin with Eluxadoline?

MediHelp rates the interaction as major. Cyclosporin and Eluxadoline 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 OATP1B1 and can markedly increase eluxadoline exposure. This raises the risk of eluxadoline adverse effects such as constipation, pancreatitis, nausea and CNS effects.

How serious is the interaction between Cyclosporin and Eluxadoline?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Reduce eluxadoline to 75 mg twice daily if coadministration is needed. Monitor for pancreatitis symptoms, constipation and sedation, or choose an alternative agent.

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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