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藥物交互作用

Cyclosporin + Lemborexant

嚴重程度: 嚴重

Cyclosporin and Lemborexant: major 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 may increase lemborexant levels via CYP3A4 inhibition. This may cause excessive somnolence and next-day impairment.

用白話說明這項交互作用的意義

Cyclosporin and Lemborexant 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; Lemborexant belongs to Central Nervous System.

證據等級: Moderate

為什麼會發生

Cyclosporine inhibits CYP3A4, reducing lemborexant clearance.

處置方式

Avoid coadministration with moderate CYP3A inhibitors per labeling, or use a non-interacting hypnotic. Monitor for daytime sedation if unavoidable.

可向藥師詢問的問題

  • 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.

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 Cyclosporin 與 Lemborexant 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 Cyclosporin with Lemborexant?

MediHelp rates the interaction as major. Cyclosporin and Lemborexant 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 may increase lemborexant levels via CYP3A4 inhibition. This may cause excessive somnolence and next-day impairment.

How serious is the interaction between Cyclosporin and Lemborexant?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid coadministration with moderate CYP3A inhibitors per labeling, or use a non-interacting hypnotic. Monitor for daytime sedation if unavoidable.

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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