藥物交互作用
Bosentan + Cyclosporin
嚴重程度: 禁忌併用
Bosentan and Cyclosporin: contraindicated interaction.
最後更新
僅供醫療專業人員參考。本頁為簡要摘要，並非醫療建議，亦不能取代官方仿單或臨床判斷。開立處方或調劑前請務必核實。
本頁的臨床內容僅提供英文版。
摘要
Cyclosporine inhibits hepatic uptake and CYP3A4 metabolism of bosentan, raising bosentan concentrations several-fold, while bosentan in turn lowers cyclosporine levels. Hepatotoxicity risk rises and immunosuppression may be lost.
用白話說明這項交互作用的意義
Bosentan and Cyclosporin 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.
Bosentan belongs to Miscellaneous; Cyclosporin belongs to Miscellaneous.
為什麼會發生
Inhibition of OATP-mediated uptake and CYP3A4 metabolism of bosentan by cyclosporine, with reciprocal induction of cyclosporine metabolism
處置方式
Do not co-administer; bosentan labelling forbids cyclosporine, so choose an alternative PAH therapy or immunosuppressant.
可向藥師詢問的問題
- 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?
Cyclosporin 的其他交互作用
Bosentan 的其他交互作用
常見問題
Can I take Bosentan with Cyclosporin?
MediHelp rates the interaction as contraindicated. Bosentan and Cyclosporin 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 inhibits hepatic uptake and CYP3A4 metabolism of bosentan, raising bosentan concentrations several-fold, while bosentan in turn lowers cyclosporine levels. Hepatotoxicity risk rises and immunosuppression may be lost.
How serious is the interaction between Bosentan and Cyclosporin?
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 co-administer; bosentan labelling forbids cyclosporine, so choose an alternative PAH therapy or immunosuppressant.
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.
在 MediHelp App 中取得完整藥品專論、劑量資訊與交互作用檢查
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