Estring local and Tacrolimus Granules for Suspension
Determining the interaction of Estring local and Tacrolimus Granules for Suspension 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:Using tacrolimus together with estradiol topical may increase the blood levels and effects of one or both medications. Contact your doctor if your condition changes or you experience increased side effects. You may need a dose adjustment or more frequent monitoring by your doctor to safely use both medications. 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 of sirolimus or tacrolimus with other drugs that are also metabolized by CYP450 3A4 may result in elevated plasma concentrations of the macrolide immunosuppressant and/or the coadministered drug(s). The mechanism is decreased drug clearance due to competitive inhibition of CYP450 3A4 activity. Although clinical data are lacking, the possibility of prolonged and/or increased pharmacologic effects of the drugs should be considered.
MANAGEMENT: Pharmacologic responses and/or plasma drug levels should be monitored more closely whenever a macrolide immunosuppressant or another substrate of CYP450 3A4 is added to or withdrawn from therapy, and the dosage(s) adjusted as necessary.
- "Product Information. Prograf (tacrolimus)." Fujisawa, Deerfield, IL.
- "Product Information. Rapamune (sirolimus)" Wyeth-Ayerst Laboratories, Philadelphia, PA.
Generic Name: estradiol topical
Brand name: Estrace Vaginal, Estring, Vagifem, Yuvafem, Imvexxy
Synonyms: Estring (local)
Generic Name: tacrolimus
Brand name: Astagraf XL, Envarsus XR, Prograf, Hecoria
Synonyms: Tacrolimus (oral and injection), Tacrolimus (Systemic)
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.
- Estring local-Tacrolimus Injection
- Estring local-Tacrolimus Intravenous
- Estring local-Tacrolimus oral and injection
- Estring local-Tacrolimus Oral, Intravenous
- Estring local-Tactinal
- Estring local-Tadalafil
- Tacrolimus Granules for Suspension-Estring Vaginal
- Tacrolimus Granules for Suspension-Estring Vaginal Ring
- Tacrolimus Granules for Suspension-Estrogel
- Tacrolimus Granules for Suspension-EstroGel Pump for use on skin
- Tacrolimus Granules for Suspension-EstroGel Transdermal
- Tacrolimus Granules for Suspension-Estrogens (Conjugated A/Synthetic)