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What the FDA labels say about taking them together

Cyclophosphamide and cyclosporine

Cyclophosphamide's FDA label of January 19, 2026 names cyclosporine in its drug interactions section; the cyclosporine labels PlainMeds reads (4) do not name cyclophosphamide. The cyclophosphamide label: “Cyclosporine Concomitant administration of cyclophosphamide may decrease serum concentrations of cyclosporine.”

Check it at the source: the cyclophosphamide FDA label on DailyMed (effective January 19, 2026, Amneal Pharmaceuticals LLC); the cyclosporine FDA label on DailyMed (effective August 10, 2026, Novartis Pharmaceuticals Corporation).

What does the cyclophosphamide label say about cyclosporine?

Cyclophosphamide label, drug interactions

Cyclosporine Concomitant administration of cyclophosphamide may decrease serum concentrations of cyclosporine.

Cyclophosphamide label (Eugia US LLC, April 21, 2025), drug interactions

Cyclosporine Lower serum concentrations of cyclosporine have been observed in patients receiving a combination of cyclophosphamide and cyclosporine than in patients receiving only cyclosporine.

Source: FDA drug label (Cyclophosphamide, NDA210735), Eugia US LLC, effective April 21, 2025 (SPL set 3c1eb470-0bba-457d-94e3-b9508f0d398a), via openFDA

Source: FDA drug label (Cyclophosphamide), Amneal Pharmaceuticals LLC, effective January 19, 2026 (SPL set 520bfe39-dfd5-4a20-9a37-80078afded0d), via openFDA; the full label on DailyMed

What does the cyclosporine label say about cyclophosphamide?

Cyclosporine's label (effective August 10, 2026) and its 3 other brand-application labels do not name cyclophosphamide in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Neoral), Novartis Pharmaceuticals Corporation, effective August 10, 2026 (SPL set 94461af3-11f1-4670-95d4-2965b9538ae3), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

19Cyclophosphamide generic labelers
14Cyclosporine generic labelers
CyclophosphamideCyclosporine
Labeled forLeukemia, lymphoma and myelomaOrgan transplant rejection, Rheumatoid arthritis
Boxed warningNoYes
Pharmacy cost (NADAC)$1.67 per capsule 50 mg capsule$1.04 per unit 0.05% eye emulsion
Shortage nowNo current entryNo current entry

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

What next?