衛教文章

可能會與cyclopsorine有藥物交互作用的其他藥物, 有那些呢?

列舉可能與環孢素(cyclosporine)產生交互作用的常見藥物。

Allopurinol, amiodarone, beta-blockers (eg, carvedilol), bromocriptine, colchicine, danazol, diltiazem, fluconazole, grapefruit and grapefruit juice, imipenem-cilastatin, itraconazole, ketoconazole, macrolide antibiotics (eg, erythromycin), metoclopramide, nefazodone, nicardipine, protease inhibitors (eg, indinavir, nelfinavir, ritonavir, saquinavir), quinupristin/dalfopristin, serotonin reuptake inhibitors (eg, fluoxetine, sertraline), verapamil

May increase cyclosporine concentrations.

Aminoglycosides, amphotericin B, cimetidine, colchicine, NSAIDs, ranitidine, tacrolimus, trimethoprim-sulfamethoxazole, melphalan, quinolones

Additive nephrotoxicity possible.

Azathioprine, corticosteroids, cyclophosphamide, verapamil

May cause additive immunosuppression, increasing risk of infection and malignancy.

Carbamazepine, hydantoins, nafcillin, octreotide, orlistat, phenobarbital, rifampin, rifabutin, St. John's wort, terbinafine, ticlopidine

May decrease cyclosporine effects.

Digoxin, methotrexate, sirolimus

Plasma levels of these agents may be elevated by cyclosporine.

Etoposide

May increase etoposide concentrations.

Live vaccines

Vaccination may be less effective.

Metoclopramide

Increases absorption of cyclosporine.

Potassium-sparing diuretics

Causes hyperkalemic effects; avoid concomitant use.

Statins (eg, lovastatin)

May cause severe myopathy or rhabdomyolysis; avoid concurrent use.