Does Cyclosporine Interact With Digoxin?
Conivaptan 33% 43% Diltiazem 20% NA Indomethacin 40% NA Mirabegron 29% 27% Nefazodone 27% 15% Nifedipine 45% NA Propantheline 24% 24% Quinine NA 33% Rabeprazole 29% 19% Saquinavir 27% 49% Spironolactone 25% NA Telmisartan 20 to 49% NA Tricagrelor 31% 28% Tolvaptan 30% 20% Trimethoprim 22 to 28% NA Digoxin concentrations increased, but magnitude is unclear Alprazolam, azithromycin, cyclosporine, diclofenac, diphenoxylate, epoprostenol, esomeprazole, ibuprofen, ketoconazole, lansoprazole, metfo…
Severity: Minor
Severity basis: drug interactions section. Combining Cyclosporine (Calcineurin inhibitor immunosuppressant) and Digoxin (Cardiac glycoside) is classified as a minor interaction.
What to Do
This is generally a minor interaction, but review it with your pharmacist to be sure it is safe for you.
How This Interaction Works
Interactions like this one can happen when two medicines have overlapping effects, or when one changes how the other is absorbed, broken down, or cleared from the body. Cyclosporine is a calcineurin inhibitor immunosuppressant and Digoxin is a cardiac glycoside; together they are documented as a minor interaction. How much this matters depends on your dose, your other medications, and your overall health.
If You Take Both Medications
If you have been prescribed both Cyclosporine and Digoxin, do not start, stop, or change either medication on your own — some medicines are unsafe to stop suddenly. Tell your prescriber and pharmacist that you take both so they can decide whether the combination is right for you, adjust the dose, monitor you more closely, or suggest an alternative.
From the FDA Label
Conivaptan 33% 43% Diltiazem 20% NA Indomethacin 40% NA Mirabegron 29% 27% Nefazodone 27% 15% Nifedipine 45% NA Propantheline 24% 24% Quinine NA 33% Rabeprazole 29% 19% Saquinavir 27% 49% Spironolactone 25% NA Telmisartan 20 to 49% NA Tricagrelor 31% 28% Tolvaptan 30% 20% Trimethoprim 22 to 28% NA Digoxin concentrations increased, but magnitude is unclear Alprazolam, azithromycin, cyclosporine, diclofenac, diphenoxylate, epoprostenol, esomeprazole, ibuprofen, ketoconazole, lansoprazole, metfo…
Source: FDA structured product labeling (set_id 03612934-62f4-4002-85af-6c66cd172acb).
Cyclosporine
Calcineurin inhibitor immunosuppressant
Brands: Neoral, Sandimmune, Gengraf
View Cyclosporine safety profileCheck these against your full medication list in our free Interaction Checker
Frequently Asked Questions
Can you take Cyclosporine and Digoxin together?
Cyclosporine and Digoxin have a documented minor interaction. This is generally a minor interaction, but review it with your pharmacist to be sure it is safe for you.
How serious is the Cyclosporine and Digoxin interaction?
It is classified as a minor interaction, based on the FDA label's drug interactions section. A minor interaction is usually limited in effect but is still worth discussing with your care team.
What should I do if I'm taking both Cyclosporine and Digoxin?
If you have been prescribed both Cyclosporine and Digoxin, do not start, stop, or change either medication on your own — some medicines are unsafe to stop suddenly. Tell your prescriber and pharmacist that you take both so they can decide whether the combination is right for you, adjust the dose, monitor you more closely, or suggest an alternative.
This information is educational — not medical advice.
This page is provided for general educational purposes and summarizes publicly available data from sources such as the U.S. Food & Drug Administration. It is not a substitute for the judgment of a licensed clinician and should not be used to start, stop, or change any medication. It may be incomplete or out of date, and individual circumstances vary. Always talk with your prescriber or pharmacist about your specific medications and health conditions. If you think you may have a medical emergency, call 911.
Other Cyclosporine Interactions
- Cyclosporine + Simvastatin(contraindicated)
- Cyclosporine + Atorvastatin(major)
- Cyclosporine + Clarithromycin(major)
- Cyclosporine + Lovastatin(major)
- Cyclosporine + Rosuvastatin(major)
- Cyclosporine + Adalimumab(moderate)
- Cyclosporine + Allopurinol(moderate)
- Cyclosporine + Amlodipine(moderate)
- Cyclosporine + Carbamazepine(moderate)
- Cyclosporine + Carvedilol(moderate)
- Cyclosporine + Celecoxib(moderate)
- Cyclosporine + Colchicine(moderate)
- Cyclosporine + Fluconazole(moderate)
- Cyclosporine + Furosemide(moderate)
- Cyclosporine + Indomethacin(moderate)
- Cyclosporine + Itraconazole(moderate)
- Cyclosporine + Meloxicam(moderate)
- Cyclosporine + Naproxen(moderate)
- Cyclosporine + Phenytoin(moderate)
- Cyclosporine + Pravastatin(moderate)
- Cyclosporine + Rifampin(moderate)
- Cyclosporine + Verapamil(moderate)
- Cyclosporine + Amiodarone(minor)
- Cyclosporine + Ciprofloxacin(minor)
- Cyclosporine + Dexamethasone(minor)
- Cyclosporine + Diltiazem(minor)
- Cyclosporine + Ezetimibe(minor)
- Cyclosporine + Fenofibrate(minor)
- Cyclosporine + Hydroxychloroquine(minor)
- Cyclosporine + Levofloxacin(minor)
- Cyclosporine + Methotrexate(minor)
- Cyclosporine + Metoclopramide(minor)
- Cyclosporine + Modafinil(minor)
- Cyclosporine + Tacrolimus(minor)
- Cyclosporine + Warfarin(minor)
Other Digoxin Interactions
- Digoxin + Albuterol(moderate)
- Digoxin + Atorvastatin(moderate)
- Digoxin + Carvedilol(moderate)
- Digoxin + Clarithromycin(moderate)
- Digoxin + Itraconazole(moderate)
- Digoxin + Lansoprazole(moderate)
- Digoxin + Pantoprazole(moderate)
- Digoxin + Phenytoin(moderate)
- Digoxin + Simvastatin(moderate)
- Digoxin + Tamsulosin(moderate)
- Digoxin + Ticagrelor(moderate)
- Digoxin + Trazodone(moderate)
- Digoxin + Verapamil(moderate)
- Digoxin + Alprazolam(minor)
- Digoxin + Amiodarone(minor)
- Digoxin + Azithromycin(minor)
- Digoxin + Canagliflozin(minor)
- Digoxin + Celecoxib(minor)
- Digoxin + Colchicine(minor)
- Digoxin + Dapagliflozin(minor)
- Digoxin + Diclofenac(minor)
- Digoxin + Dicyclomine(minor)
- Digoxin + Diltiazem(minor)
- Digoxin + Enalapril(minor)
- Digoxin + Esomeprazole(minor)
- Digoxin + Finasteride(minor)
- Digoxin + Hydroxychloroquine(minor)
- Digoxin + Ibuprofen(minor)
- Digoxin + Indomethacin(minor)
- Digoxin + Ketoconazole(minor)
- Digoxin + Levofloxacin(minor)
- Digoxin + Lovastatin(minor)
- Digoxin + Metformin(minor)
- Digoxin + Metoclopramide(minor)
- Digoxin + Montelukast(minor)
- Digoxin + Naproxen(minor)
- Digoxin + Nifedipine(minor)
- Digoxin + Omeprazole(minor)
- Digoxin + Raloxifene(minor)
- Digoxin + Ramipril(minor)
- Digoxin + Rifampin(minor)
- Digoxin + Risperidone(minor)
- Digoxin + Sertraline(minor)
- Digoxin + Spironolactone(minor)
- Digoxin + Sucralfate(minor)
- Digoxin + Sulfasalazine(minor)
- Digoxin + Tadalafil(minor)
- Digoxin + Telmisartan(minor)
- Digoxin + Tramadol(minor)