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Cyclosporin + Repaglinide

嚴重程度: 嚴重

Cyclosporin and Repaglinide: 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

Cyclosporine raises repaglinide exposure, increasing the risk of prolonged or severe hypoglycemia.

用白話說明這項交互作用的意義

Cyclosporin and Repaglinide 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; Repaglinide belongs to Endocrine.

證據等級: High

為什麼會發生

Cyclosporine inhibits CYP3A4 and OATP1B1, reducing hepatic uptake and metabolism of repaglinide.

處置方式

Keep repaglinide at a low dose, not exceeding the labeled daily maximum with cyclosporine. Monitor blood glucose more frequently.

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 Repaglinide 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 Repaglinide?

MediHelp rates the interaction as major. Cyclosporin and Repaglinide 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 raises repaglinide exposure, increasing the risk of prolonged or severe hypoglycemia.

How serious is the interaction between Cyclosporin and Repaglinide?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Keep repaglinide at a low dose, not exceeding the labeled daily maximum with cyclosporine. Monitor blood glucose more frequently.

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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