Clarithromycin and Sandimmune drug interactions - a phase IV clinical study of FDA data
Summary:
Drug interactions are reported among people who take Clarithromycin (clarithromycin) and Sandimmune (cyclosporine). Common drug interactions include encephalopathy among females and somnolence among males.
The phase IV clinical study analyzes what interactions people have when they take Clarithromycin and Sandimmune. It is created by eHealthMe based on reports of 21 people who take the same drugs from the FDA, and is updated regularly.
What is Clarithromycin?
Clarithromycin has active ingredients of clarithromycin. It is often used in sinusitis. eHealthMe is studying from 45,044 Clarithromycin users. Check the latest studies of Clarithromycin.
What is Sandimmune?
Sandimmune has active ingredients of cyclosporine. eHealthMe is studying from 6,694 Sandimmune users. Check the latest studies of Sandimmune.
21 people who take Clarithromycin and Sandimmune together, and have interactions are studied.

What are the common drug interactions of Clarithromycin and Sandimmune, by gender? *:
female:
- Encephalopathy (functioning of the brain is affected by some agent or condition)
- Grand mal convulsion (a type of generalized seizure that affects the entire brain)
- Headache (pain in head)
- Muscle weakness (a lack of muscle strength)
- Nausea (feeling of having an urge to vomit)
- Neurotoxicity (when the exposure to natural or artificial toxic substances, which are called neurotoxins, alters the normal activity of the nervous system)
- Pancytopenia (medical condition in which there is a reduction in the number of red and white blood cells, as well as platelets)
- Renal failure (kidney dysfunction)
- Rhabdomyolysis (a condition in which damaged skeletal muscle tissue breaks down)
- Subarachnoid haemorrhage (blood leaks into the space between two membranes that surround the brain)
male:
- Somnolence (a state of near-sleep, a strong desire for sleep)
- Tachycardia (a heart rate that exceeds the range of 100 beats/min)
- Cardio-respiratory arrest (sudden dysfunction of heart and lungs)
- Cough
- Diarrhoea
- Epistaxis (bleed from the nose)
- Headache (pain in head)
- Mydriasis (a dilation of the pupil)
- Nausea (feeling of having an urge to vomit)
- Oxygen saturation decreased
What are the common drug interactions of Clarithromycin and Sandimmune, by age (0-1 to 60+)? *:
0-1:
n/a
2-9:
- Hepatic steatosis (fatty liver disease)
- Immunosuppressant drug level increased
- Neurogenic shock (insufficient blood flow throughout the body due to injury in spinal cord)
- Pyrexia (fever)
- Renal tubular necrosis (death of kidney tubules)
- Tinnitus (a ringing in the ears)
- Visceral congestion (blocking of internal organs of the body)
- Graft versus host disease (the donated bone marrow or stem cells view the recipient's body as foreign, and the donated cells/bone marrow attack the body)
- Cytomegalovirus infection
- Fatigue (feeling of tiredness)
10-19:
- Amnesia (deficit in memory caused by brain damage, disease, or psychological trauma)
- Deafness
- Encephalopathy (functioning of the brain is affected by some agent or condition)
- Muscle contractions involuntary (uncontrolled muscle contraction)
- Muscle twitching
- Neurotoxicity (when the exposure to natural or artificial toxic substances, which are called neurotoxins, alters the normal activity of the nervous system)
- Petit mal epilepsy (absence seizure)
- Tremor (trembling or shaking movements in one or more parts of your body)
20-29:
n/a
30-39:
- Blood pressure increased
- Cerebral oedema (swelling of brain)
- Communication disorder (speech and language disorder)
- Cytomegalovirus infection
- Encephalopathy (functioning of the brain is affected by some agent or condition)
- Grand mal convulsion (a type of generalized seizure that affects the entire brain)
- Headache (pain in head)
- Nausea (feeling of having an urge to vomit)
- Neurotoxicity (when the exposure to natural or artificial toxic substances, which are called neurotoxins, alters the normal activity of the nervous system)
- Pancytopenia (medical condition in which there is a reduction in the number of red and white blood cells, as well as platelets)
40-49:
- Renal impairment (severely reduced kidney function)
- Chronic graft versus host disease (immune cells attack the host's body cells after transplant)
- Blood creatinine increased
- Chest discomfort
- Cholelithiasis (the presence or formation of gallstones in the gallbladder or bile ducts)
- Cytomegalovirus test positive
- Dyspnoea (difficult or laboured respiration)
- Dyspnoea exertional (breathlessness or shortness of breath)
- Eye infection
- Hepatitis cholestatic (flow of bile from the liver is slowed or blocked)
50-59:
- Cholestasis (a condition where bile cannot flow from the liver to the duodenum)
- Multi-organ failure (multisystem organ failure)
- Sepsis (a severe blood infection that can lead to organ failure and death)
60+:
- Rhabdomyolysis (a condition in which damaged skeletal muscle tissue breaks down)
- Cerebral infarction (less blood supply to brain resulting tissue damage)
- Drug therapeutic incompatibility
- Immunosuppressant drug level increased
- Muscle weakness (a lack of muscle strength)
- Myalgia (muscle pain)
- Renal failure (kidney dysfunction)
- Tonic seizures (all the muscles to suddenly become stiff)
- Upper respiratory tract infection
- Weakness
What are the existing conditions these people have? *
- Obliterative Bronchiolitis (bronchiolar inflammation): 2 people, 9.52%
- Eye Infection: 2 people, 9.52%
* Approximation only. Some reports may have incomplete information.
Do you take Clarithromycin and Sandimmune?
- Personalize this study to your gender, age, symptoms and drugs
- Predict drug outcomes for up to one year with AI
- Get an AI agent to monitor your drugs continuously
Related studies:
Effectiveness of, side effects of, and alternative drugs to the 2 drugs:
- Clarithromycin (45,044 reports)
- Sandimmune (6,694 reports)
Browse all drug interactions of Clarithromycin and Sandimmune:
a b c d e f g h i j k l m n o p q r s t u v w x y zSub-studies by gender and age:
Female: 0-1 2-9 10-19 20-29 30-39 40-49 50-59 60+
Male: 0-1 2-9 10-19 20-29 30-39 40-49 50-59 60+
Browse all side effects of Clarithromycin:
a b c d e f g h i j k l m n o p q r s t u v w x y zBrowse all side effects of Sandimmune:
a b c d e f g h i j k l m n o p q r s t u v w x y zBrowse all interactions between Clarithromycin and drugs from A to Z:
a b c d e f g h i j k l m n o p q r s t u v w x y zBrowse all interactions between Sandimmune and drugs from A to Z:
a b c d e f g h i j k l m n o p q r s t u v w x y zRelated publications that referenced our studies
- O’Brien FE, O’Connor RM, Clarke G, Donovan MD, Dinan TG, Griffin BT, Cryan JF, "The P-glycoprotein inhibitor cyclosporin A differentially influences behavioural and neurochemical responses to the antidepressant escitalopram", Behavioural brain research, 2014 Mar .
- O’Brien FE, O’Connor RM, Clarke G, Donovan MD, Dinan TG, Griffin BT, Cryan JF, "The P-glycoprotein inhibitor cyclosporin A differentially influences behavioural and neurochemical responses to the antidepressant escitalopram", Behavioural brain research, 2014 Mar .
How the study uses the data?
The study uses data from the FDA. It is based on clarithromycin and cyclosporine (the active ingredients of Clarithromycin and Sandimmune, respectively), and Clarithromycin and Sandimmune (the brand names). Other drugs that have the same active ingredients (e.g. generic drugs) are not considered. Dosage of drugs is not considered in the study.
How to use the study?
DO NOT STOP MEDICATIONS without first consulting your doctor. If there are any serious or long term adverse effects discovered in the study, discuss the study with your doctor to ensure that proper medication management will be in place if applicable.
Who is eHealthMe?
With medical big data and proven AI/ML algorithms, eHealthMe provides a platform for everyone to run phase IV clinical trials. We study millions of patients and 5,000 more each day. Results of our real-world drug study have been referenced on 800+ peer-reviewed medical publications, including The Lancet, Mayo Clinic Proceedings, and Nature. Our analysis results are available to researchers, health care professionals, patients (testimonials), and software developers (open API).
WARNING, DISCLAIMER, USE FOR PUBLICATION
WARNING: Please DO NOT STOP MEDICATIONS without first consulting a physician since doing so could be hazardous to your health.
DISCLAIMER: All material available on eHealthMe.com is for informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment provided by a qualified healthcare provider. All information is observation-only. Our phase IV clinical studies alone cannot establish cause-effect relationship. Different individuals may respond to medication in different ways. Every effort has been made to ensure that all information is accurate, up-to-date, and complete, but no guarantee is made to that effect. The use of the eHealthMe site and its content is at your own risk.
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