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Gengraf Capsules and Macitentan

Determining the interaction of Gengraf Capsules and Macitentan and the possibility of their joint administration.

Check result:
Gengraf Capsules <> Macitentan
Relevance: 22.08.2022 Reviewer: Shkutko P.M., M.D., in

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:

Consumer information for this minor interaction is not currently available. Some minor drug interactions may not be clinically relevant in all patients. Minor drug interactions do not usually cause harm or require a change in therapy. However, your healthcare provider can determine if adjustments to your medications are needed.

Professional:

Coadministration with cyclosporine, an inhibitor of CYP450 3A4 and organic anion transporting polypeptide (OATP), may modestly affect the pharmacokinetics of macitentan. In ten healthy male subjects pretreated with macitentan (30 mg initially, followed by 10 mg once daily) for 5 days, coadministration with cyclosporine (100 mg twice daily) on days 6 through 17 increased macitentan systemic exposure (AUC) by just 10% and trough plasma concentration (Cmin) by 38% compared to macitentan administered alone. These changes are not considered clinically relevant, and no dosage adjustments are recommended during coadministration.

References
  • "Product Information. Opsumit (macitentan)." Actelion Pharmaceuticals US Inc, South San Francisco, CA.
  • Bruderer S, Aanismaa P, Homery MC, et al. "Effect of cyclosporine and rifampin on the pharmacokinetics of macitentan, a tissue-targeting dual endothelin receptor antagonist." AAPS J 14 (2012): 68-78
Gengraf Capsules

Generic Name: cyclosporine

Brand name: Gengraf, Neoral, Sandimmune, Sandimmune

Synonyms: Gengraf (Capsules, Modified), Gengraf

Macitentan

Generic Name: macitentan

Brand name: Opsumit

Synonyms: n.a.

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.

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