Zemplar and Rapamune drug interactions - a phase IV clinical study of FDA data

Summary:

Drug interactions are reported among people who take Zemplar (paricalcitol) and Rapamune (sirolimus). Common drug interactions include white blood cell count increased among females and discomfort among males.

The phase IV clinical study analyzes what interactions people have when they take Zemplar and Rapamune. It is created by eHealthMe based on reports of 42 people who take the same drugs from the FDA, and is updated regularly.

What is Zemplar?

Zemplar has active ingredients of paricalcitol. It is often used in kidney disease. eHealthMe is studying from 15,494 Zemplar users. Check the latest studies of Zemplar.

What is Rapamune?

Rapamune has active ingredients of sirolimus. It is often used in kidney transplant. eHealthMe is studying from 13,848 Rapamune users. Check the latest studies of Rapamune.



On Jul, 15, 2026

42 people who take Zemplar and Rapamune together, and have interactions are studied.

Zemplar and Rapamune drug interactions.

What are the common drug interactions of Zemplar and Rapamune, by gender? *:

female:

  1. White blood cell count increased
  2. Abdominal pain
  3. Chest pain
  4. Dizziness
  5. Dysphagia (a condition in which swallowing is difficult or painful)
  6. Fluid retention (an abnormal accumulation of fluid in the blood)
  7. Hypotension (abnormally low blood pressure)
  8. Malaise (a feeling of general discomfort or uneasiness)
  9. Nausea (feeling of having an urge to vomit)
  10. Pleural effusion (water on the lungs)

male:

  1. Discomfort
  2. Nephrogenic systemic fibrosis (involves fibrosis of skin, joints, eyes due to kidney disease)
  3. Mobility decreased (ability to move is reduced)
  4. Muscular weakness (muscle weakness)
  5. Musculoskeletal stiffness (stiffness of the body's muscles, joints, tendons, ligaments and nerves)
  6. Nausea (feeling of having an urge to vomit)
  7. Pruritus (severe itching of the skin)
  8. Scar
  9. Skin discolouration (change of skin colour)
  10. Skin fissures (a crack in the skin)

What are the common drug interactions of Zemplar and Rapamune, by age (0-1 to 60+)? *:

0-1:

n/a

2-9:

n/a

10-19:

  1. Bacterial infection
  2. Chest pain
  3. Chills (felling of cold)
  4. Diarrhoea
  5. Fatigue (feeling of tiredness)
  6. Hyperkalaemia (damage to or disease of the kidney)
  7. Hypotension (abnormally low blood pressure)
  8. Hypoxia (low oxygen in tissues)
  9. Malaise (a feeling of general discomfort or uneasiness)
  10. Nausea (feeling of having an urge to vomit)

20-29:

n/a

30-39:

  1. Deep vein thrombosis (blood clot in a major vein that usually develops in the legs and/or pelvis)
  2. Fatigue (feeling of tiredness)
  3. Fluid retention (an abnormal accumulation of fluid in the blood)
  4. Haemoglobin increased
  5. Haemolysis (breaking open of red blood cells and the release of haemoglobin into the surrounding fluid)
  6. Platelet count increased
  7. Pyrexia (fever)
  8. Red blood cell count decreased

40-49:

  1. Nephrogenic systemic fibrosis (involves fibrosis of skin, joints, eyes due to kidney disease)
  2. Anxiety
  3. Asthenia (weakness)
  4. Back pain
  5. Balance disorder
  6. Deformity (disfigurement)
  7. Emotional distress
  8. Fibrosis (formation of excess fibrous connective tissue in an organ or tissue)
  9. Gait disturbance
  10. General physical health deterioration (weak health status)

50-59:

  1. General physical health deterioration (weak health status)
  2. Joint range of motion decreased (disease of joint movement)
  3. Joint stiffness
  4. Mobility decreased (ability to move is reduced)
  5. Muscular weakness (muscle weakness)
  6. Musculoskeletal stiffness (stiffness of the body's muscles, joints, tendons, ligaments and nerves)
  7. Nausea (feeling of having an urge to vomit)
  8. Oedema peripheral (superficial swelling)
  9. Pruritus (severe itching of the skin)
  10. Scar

60+:

  1. C-reactive protein increased
  2. Infectious peritonitis (inflammation of the peritoneum, typically caused by bacterial infection)
  3. Fatigue (feeling of tiredness)
  4. General physical health deterioration (weak health status)
  5. Pleural effusion (water on the lungs)
  6. Pyrexia (fever)
  7. Renal failure chronic (long lasting kidney dysfunction)
  8. Abdominal discomfort
  9. Anaemia haemolytic autoimmune (a condition in which the immune system attacks the red blood cells, resulting in fewer of these oxygen-transporting cells)
  10. Angioplasty

What are the existing conditions these people have? *

  1. High Blood Cholesterol: 10 people, 23.81%
  2. Hyperparathyroidism Secondary (an abnormally high concentration of parathyroid hormone in the blood, resulting in weakening of the bones through loss of calcium-secondary): 8 people, 19.05%
  3. Chronic Renal Failure (kidney failure): 8 people, 19.05%
  4. Blood Phosphorus Increased: 8 people, 19.05%
  5. High Blood Pressure: 5 people, 11.90%
  6. Primary Pulmonary Hypertension (primary high blood pressure that affects the arteries in the lungs and the right side of your heart): 4 people, 9.52%

* Approximation only. Some reports may have incomplete information.

Do you take Zemplar and Rapamune?

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Related studies:

Effectiveness of, side effects of, and alternative drugs to the 2 drugs:

Browse all drug interactions of Zemplar and Rapamune:

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 z

Sub-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 Zemplar:

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 z

Browse all side effects of Rapamune:

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 z

Browse all interactions between Zemplar 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 z

Browse all interactions between Rapamune 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 z

How the study uses the data?

The study uses data from the FDA. It is based on paricalcitol and sirolimus (the active ingredients of Zemplar and Rapamune, respectively), and Zemplar and Rapamune (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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