Interaction between Cyclosporine and Ezetimibe
Moderate
Others
| ID | DDInter458 and DDInter707 |
| Interaction |
Coadministration with cyclosporine may significantly increase the plasma concentrations of ezetimibe. The mechanism of interaction is unknown.
abdominal distension
abdominal pain
adenocarcinoma
alcohol consumption
Amnesia
Anorexia
Aching joints
arthritis
ascites
AFIB
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| Management | Caution is advised if ezetimibe is prescribed to patients receiving cyclosporine due to the potential for increased exposure to ezetimibe and altered exposure to cyclosporine. This exposure may be greater in patients with severe renal impairment. Monitoring of cyclosporine concentrations is recommended. |
| References | |
| Alternative for Cyclosporine |
L04A
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| Alternative for Ezetimibe |
C10B
C10A |
Potential Metabolism Interactions
Substrate-Substrate Interaction:If more than one drug is metabolized by the same CYP, it is possible that its metabolism is inhibited because of the competition between the drugs. That means, it can be useful to lower the dosage of the drugs in the drug-cocktail because they remain longer in the organism than in monotherapy.
Inhibitor-Inhibitor Interaction:Combining two or more inhibitors of one CYP, should be compensated by lowering the dosage of these drugs because the metabolism is reduced and the drugs remain longer in the organism than in monotherapy. Not adapting the dosage bears the risk of even more side effects.
Inhibitor-Substrate Interaction:Combining drugs that have inhibitory effect and are substrates of one particular CYP, should be compensated by lowering the dosage. They rest longer in the organism than in monotherapy. Not adapting the dosage bears the risk of even more side effects.