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藥物交互作用

Cyclosporin + Lornoxicam

嚴重程度: 嚴重

Cyclosporin and Lornoxicam: major interaction.

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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

Lornoxicam combined with cyclosporine increases the risk of nephrotoxicity, hypertension and fluid retention. Reduced renal blood flow from both agents is additive.

用白話說明這項交互作用的意義

Cyclosporin and Lornoxicam 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; Lornoxicam belongs to Musculoskeletal.

證據等級: Moderate

為什麼會發生

NSAID inhibition of vasodilatory renal prostaglandins adds to cyclosporine-induced renal vasoconstriction.

處置方式

Avoid the combination where possible and use an alternative analgesic such as paracetamol. If it is used, monitor serum creatinine, potassium and blood pressure closely.

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.

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建立帳號並開始 Pro+ 試用,即可解鎖 Cyclosporin 與 Lornoxicam 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 Lornoxicam?

MediHelp rates the interaction as major. Cyclosporin and Lornoxicam 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. Lornoxicam combined with cyclosporine increases the risk of nephrotoxicity, hypertension and fluid retention. Reduced renal blood flow from both agents is additive.

How serious is the interaction between Cyclosporin and Lornoxicam?

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 the combination where possible and use an alternative analgesic such as paracetamol. If it is used, monitor serum creatinine, potassium and blood pressure closely.

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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