Cyclosporine Injection and Fluvoxamine ER Capsules
Determining the interaction of Cyclosporine Injection and Fluvoxamine ER Capsules and the possibility of their joint administration.
In the database of official manuals used in the service creation an interaction registered by statistical results of studies was found, which can either lead to negative consequences for the patient health or strengthen a mutual positive effect. A doctor should be consulted to address the issue of joint drug administration.
Consumer:FluvoxaMINE may increase the blood levels and effects of cycloSPORINE. You may need a dose adjustment if you have been taking cycloSPORINE and are starting treatment with fluvoxaMINE. Contact your doctor if your condition changes or if you experience increased side effects such as nausea, vomiting, diarrhea, abdominal pain, dizziness, fatigue, headache, tremors, seizures, fever, sore throat, unusual bruising or bleeding, and increased or decreased urination. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.
Professional:MONITOR: Coadministration with fluvoxamine may increase the blood concentrations of cyclosporine. The mechanism is fluvoxamine inhibition of cyclosporine metabolism via CYP450 3A4. The risk of nephro- and neurotoxicity associated with cyclosporine may be increased.
MANAGEMENT: Caution is advised if cyclosporine is used with fluvoxamine. Cyclosporine blood levels and renal function should be checked frequently and the dosage adjusted accordingly, particularly following initiation or discontinuation of fluvoxamine therapy in patients who are stabilized on their cyclosporine regimen. Patients should be advised to notify their doctor if they experience possible signs of cyclosporine toxicity such as nausea, vomiting, diarrhea, abdominal pain, dizziness, fatigue, headache, tremors, and convulsions.
- Vella JP, Sayegh MH "Interactions between cyclosporine and newer antidepressant medications." Am J Kidney Dis 31 (1998): 320-3
- Helmssmith KM, Curtis SL, Hatton RC "Apparent interaction between nefazodone and cyclosporine." Ann Intern Med 125 (1996): 424
Generic Name: cyclosporine
Brand name: Gengraf, Neoral, Sandimmune, Sandimmune
Synonyms: Cyclosporine (oral/injection), CycloSPORINE (Systemic)
Generic Name: fluvoxamine
Brand name: Luvox, Luvox CR
Synonyms: Fluvoxamine
In the course of checking the drug compatibility and interactions, data from the following reference sources was used: Drugs.com, Rxlist.com, Webmd.com, Medscape.com.
- Cyclosporine Injection-Fluvoxamine Extended-Release Capsules
- Cyclosporine Injection-Fluvoxamine Maleate
- Cyclosporine Injection-Fluvoxamine Tablets
- Cyclosporine Injection-Fluxid
- Cyclosporine Injection-Fluzone
- Cyclosporine Injection-Fluzone 2013-2014 Formula
- Fluvoxamine ER Capsules-Cyclosporine Oral Solution
- Fluvoxamine ER Capsules-Cyclosporine Oral Solution, Modified
- Fluvoxamine ER Capsules-Cyclosporine Oral, Intravenous
- Fluvoxamine ER Capsules-Cyclosporine oral/injection
- Fluvoxamine ER Capsules-Cyclosporine Soft Gelatin Capsules
- Fluvoxamine ER Capsules-CyFolex