Prograf and Zanaflex drug interactions - a phase IV clinical study of FDA data
Summary:
Drug interactions are reported among people who take Prograf (tacrolimus) and Zanaflex (tizanidine hydrochloride). Common drug interactions include thrombosis among females and parainfluenzae virus infection among males.
The phase IV clinical study analyzes what interactions people have when they take Prograf and Zanaflex. It is created by eHealthMe based on reports of 30 people who take the same drugs from the FDA, and is updated regularly.
What is Prograf?
Prograf has active ingredients of tacrolimus. It is often used in kidney transplant. eHealthMe is studying from 42,230 Prograf users. Check the latest studies of Prograf.
What is Zanaflex?
Zanaflex has active ingredients of tizanidine hydrochloride. It is often used in muscle spasms. eHealthMe is studying from 17,476 Zanaflex users. Check the latest studies of Zanaflex.
30 people who take Prograf and Zanaflex together, and have interactions are studied.

What are the common drug interactions of Prograf and Zanaflex, by gender? *:
female:
- Thrombosis (formation of a blood clot inside a blood vessel)
- Surgery
- Blood pressure increased
- Mania (a state of abnormally elevated or irritable mood)
- Chronic kidney disease
- Decreased appetite
- Depression
- Drug hypersensitivity
- Gout (uric acid crystals building up in the body)
- Irritability
male:
- Parainfluenzae virus infection
- Headache (pain in head)
- Cardiac arrest
- Infected skin ulcer
- Localised infection (infection at the single location)
- Respiratory failure (inadequate gas exchange by the respiratory system)
- Transplant failure (transplantation failed to meet outcome)
- Urinary tract infection
- Atelectasis (partial or complete collapse of the lung)
- Blood pressure systolic increased
What are the common drug interactions of Prograf and Zanaflex, by age (0-1 to 60+)? *:
0-1:
n/a
2-9:
n/a
10-19:
n/a
20-29:
n/a
30-39:
- Blood culture positive
- Bronchopulmonary aspergillosis (lung disorder caused by aspergillus fungi)
- Cytomegalovirus infection
- Diabetes mellitus (diabetes, caused by a deficiency of the pancreatic hormone insulin)
- Diabetic ketoacidosis (diabetic ketoacidosis (dka) is high concentrations of ketone bodies)
- Enterobacter infection (infection caused by bacteria of the family enterobacteriaceae)
- Febrile neutropenia (fever with reduced white blood cells)
- General physical health deterioration (weak health status)
- Immunodeficiency
- Progressive multifocal leukoencephalopathy (rapidly progressive neuromuscular disease caused by opportunistic infection of brain cells)
40-49:
- Chronic kidney disease
- Depression
- Chronic allograft nephropathy (failure of kidney transplant)
- Fatigue (feeling of tiredness)
- Headache (pain in head)
- Malaise (a feeling of general discomfort or uneasiness)
- Proteinuria (presence of protein in the urine)
- Pyuria (a condition of urine containing pus)
- Skin papilloma (a general medical term for a tumour of the skin or mucous membrane with finger-like projections)
- Coma (state of unconsciousness lasting more than six hours)
50-59:
- Parainfluenzae virus infection
- Headache (pain in head)
- Chest pain
- Cough
- Dyspnoea (difficult or laboured respiration)
- Respiratory tract infection fungal
- Atelectasis (partial or complete collapse of the lung)
- Blood pressure systolic increased
- Cerebrovascular accident (sudden death of some brain cells due to lack of oxygen when the blood flow to the brain is impaired by blockage or rupture)
- Chest discomfort
60+:
- Multiple sclerosis relapse (reoccurrence of a nervous system disease that affects your brain and spinal cord. it damages the myelin sheath)
- Progressive multifocal leukoencephalopathy (rapidly progressive neuromuscular disease caused by opportunistic infection of brain cells)
- Urinary tract infection
- Thrombosis (formation of a blood clot inside a blood vessel)
- Candida sepsis (candida in blood stream)
- Cardiac arrest
- Infected skin ulcer
- Localised infection (infection at the single location)
- Pneumonia
- Respiratory failure (inadequate gas exchange by the respiratory system)
What are the existing conditions these people have? *
- Acute Myeloid Leukaemia (acute cancer in which the bone marrow makes abnormal myeloblasts): 7 people, 23.33%
- Narcolepsy (brain's inability to regulate sleep-wake cycles normally): 5 people, 16.67%
- Gastroesophageal Reflux Disease (a condition in which stomach contents leak backward from the stomach into the oesophagus): 5 people, 16.67%
- Drowsiness: 5 people, 16.67%
- Pain: 3 people, 10.00%
- Restless Leg Syndrome (a powerful urge to move your legs): 2 people, 6.67%
- Neuropathy Peripheral (surface nerve damage): 2 people, 6.67%
- Multiple Sclerosis (a nervous system disease that affects your brain and spinal cord. it damages the myelin sheath): 2 people, 6.67%
- High Blood Cholesterol: 2 people, 6.67%
- Diabetes: 2 people, 6.67%
* Approximation only. Some reports may have incomplete information.
Do you take Prograf and Zanaflex?
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Related studies:
Effectiveness of, side effects of, and alternative drugs to the 2 drugs:
Browse all drug interactions of Prograf and Zanaflex:
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 Prograf:
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 Zanaflex:
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 Prograf 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 Zanaflex 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 zHow the study uses the data?
The study uses data from the FDA. It is based on tacrolimus and tizanidine hydrochloride (the active ingredients of Prograf and Zanaflex, respectively), and Prograf and Zanaflex (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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