相互作用
Cyclosporin + Voclosporin
重症度: 併用禁忌
Cyclosporin and Voclosporin: contraindicated interaction.
最終更新日
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概要
Both are calcineurin inhibitors, so combining them gives duplicate immunosuppression and additive nephrotoxicity, hyperkalemia and infection risk. Cyclosporine also inhibits CYP3A4 and raises voclosporin exposure.
この相互作用をわかりやすく説明すると
Cyclosporin and Voclosporin 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.
Cyclosporin belongs to Miscellaneous; Voclosporin belongs to Miscellaneous.
なぜ起こるのか
Additive calcineurin inhibition with pharmacodynamic overlap, plus cyclosporine-mediated CYP3A4 inhibition that increases voclosporin levels.
対処法
Do not use the two calcineurin inhibitors together. Use only one agent and allow appropriate washout when switching.
薬剤師に尋ねること
- 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?
Pro+会員向け
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アカウントを作成してPro+トライアルを始めると、CyclosporinとVoclosporinの臨床対応の詳細なアドバイス、追加の注記、エビデンスの詳細、処方全体を対象とした相互作用チェッカーを利用できます。
- Full clinical management advice
- Additional notes
- Evidence detail
- Interaction checker for a whole prescription
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Cyclosporinのその他の相互作用
Voclosporinのその他の相互作用
よくある質問
Can I take Cyclosporin with Voclosporin?
MediHelp rates the interaction as contraindicated. Cyclosporin and Voclosporin 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. Both are calcineurin inhibitors, so combining them gives duplicate immunosuppression and additive nephrotoxicity, hyperkalemia and infection risk. Cyclosporine also inhibits CYP3A4 and raises voclosporin exposure.
How serious is the interaction between Cyclosporin and Voclosporin?
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 use the two calcineurin inhibitors together. Use only one agent and allow appropriate washout when switching.
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.
完全なモノグラフ、用量、相互作用チェッカーはMediHelpアプリで
MediHelpアプリで、完全なリファレンスを開き、複数薬剤の相互作用をチェックし、用量ツールを利用できます。
