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Gengraf Capsules and Tacrolimus oral and injection

Determining the interaction of Gengraf Capsules and Tacrolimus oral and injection and the possibility of their joint administration.

Check result:

Gengraf Capsules <> Tacrolimus oral and injection

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:

Ask your doctor before using cycloSPORINE together with tacrolimus. This can cause serious side effects on your kidneys. Call your doctor if your experience fever, chills, body aches, flu symptoms, and severe pain in your upper stomach spreading to your back. If your doctor does prescribe these medications together, you may need a dose adjustment or special tests to safely take 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:

GENERALLY AVOID: Coadministration of tacrolimus and cyclosporine may increase the risk and severity of nephrotoxicity due to additive effects on the kidney. Clinical experience indicates that the combination is associated with increased renal toxicity as evidenced by increased serum creatinine and decreased glomerular filtration rate. In vitro and animal data also suggest that tacrolimus may inhibit the intestinal first-pass metabolism of cyclosporine via CYP450 3A4, resulting in significantly increased bioavailability of the latter.

MANAGEMENT: To avoid undue nephrotoxicity, tacrolimus and cyclosporine should not be used simultaneously. Tacrolimus or cyclosporine should be discontinued for at least 24 hours prior to initiating the other. In the presence of elevated tacrolimus or cyclosporine concentrations, dosing with the other drug usually should be further delayed.

References

Pichard L, Fabre I, Domergue J, Joyeux H, Maurel P "Effect of FK 506 on human hepatic cytochromes P-450: interaction with CyA (cyclosporine)." Transplant Proc 23 (1991): 2791-3
McCauley J, Takaya S, Fung J, et al "The question of FK 506 nephrotoxicity after liver transplantation." Transplant Proc 23 (1991): 1444-7
Wu YM, Venkataramanan R, Suzuki M, et al "Interaction between FK 506 and cyclosporine in dogs." Transplant Proc 23 (1991): 2797-9
Burke MD, Omar G, Thomson AW, Whiting PH "Inhibition of the metabolism of cyclosporine by human liver microsomes by FK506." Transplantation 50 (1990): 901-2
Ali Shah I, Whiting PH, Omar G, Thomson AW, Burke MD "Effects of FK 506 on human hepatic microsomal cytochrome P-450-dependent drug metabolism in vitro." Transplant Proc 23 (1991): 2783-5
"Product Information. Prograf (tacrolimus)." Fujisawa, Deerfield, IL.
Iwasaki K, Matsuda H, Nagase K, Shiraga T, Tokuma Y, Uchida K "Effects of twenty-three drugs on the metabolism of FK506 by human liver microsomes." Res Commun Chem Pathol Pharmacol 82 (1993): 209-16
Christians U, Braun F, Sattler M, Almeidal VM, Linck A, Sewing KF "Interactions of FK 506 and cyclosporine metabolism." Transplant Proc 23 (1991): 2794-6

Gengraf Capsules

Generic Name: cyclosporine

Brand name: Gengraf, Neoral, Sandimmune, Sandimmune

Synonyms: Gengraf (Capsules, Modified), Gengraf

What is Gengraf Capsules?

Tacrolimus oral and injection

Generic Name: tacrolimus

Brand name: Astagraf XL, Envarsus XR, Prograf, Hecoria

Synonyms: Tacrolimus (oral and injection), Tacrolimus (Systemic)

What is Tacrolimus oral and injection?

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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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