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藥物交互作用

Colesevelam + Cyclosporin

嚴重程度: 中度

Colesevelam and Cyclosporin: moderate 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

Colesevelam can bind cyclosporine in the gut and reduce its absorption, leading to lower blood concentrations and a risk of rejection. Taking cyclosporine well before colesevelam avoids the effect.

用白話說明這項交互作用的意義

Colesevelam 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.

Colesevelam belongs to Endocrine; Cyclosporin belongs to Miscellaneous.

證據等級: Moderate

為什麼會發生

Bile acid sequestrant binds cyclosporine in the gastrointestinal tract, reducing absorption.

處置方式

Give cyclosporine at least 4 hours before colesevelam and monitor cyclosporine trough levels.

可向藥師詢問的問題

  • 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.

Pro+ 會員專屬

解鎖完整頁面

建立帳號並開始 Pro+ 試用,即可解鎖 Colesevelam 與 Cyclosporin 的完整臨床處置建議、補充說明、證據詳情及整張處方的交互作用檢查工具。

  • Full clinical management advice
  • Additional notes
  • Evidence detail
  • Interaction checker for a whole prescription

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常見問題

Can I take Colesevelam with Cyclosporin?

MediHelp rates the interaction as moderate. Colesevelam 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. Colesevelam can bind cyclosporine in the gut and reduce its absorption, leading to lower blood concentrations and a risk of rejection. Taking cyclosporine well before colesevelam avoids the effect.

How serious is the interaction between Colesevelam 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: Give cyclosporine at least 4 hours before colesevelam and monitor cyclosporine trough levels.

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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