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A Drug-drug Interaction Between Cyclosporine and Nystatin
Wei Liu1, Xin Guan2, Zhiheng Yu3
1Department of Pharmacy, Peking University Third Hospital, Beijing, China; Center of Peking University Therapeutic Drug Monitoring and Clinical Toxicology, Beijing, China.
Abstract:
We present a case of increased cyclosporine concentration and liver function right after the combinational use of cyclosporine and nystatin, which indicated a drug-drug interaction between them. Both the concentration and liver function were decreased after discontinuation of nystatin and remained normal after taking on cyclosporine again. To our knowledge, this is the first case report of the interactions between nystatin and cyclosporine. Enteric P-glycoprotein could play an important role in the pharmacokinetic profile of cyclosporine, which needs further identification by physicians and pharmacists.
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