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What the FDA labels say about taking them together

Cyclosporine and letermovir

Letermovir's FDA label of January 14, 2026 names cyclosporine in its contraindications section; the cyclosporine labels PlainMeds reads (4) do not name letermovir. The letermovir label: “When PREVYMIS is co-administered with glyburide, repaglinide, or rosiglitazone, frequently monitor glucose concentrations. When PREVYMIS is co-administered with cyclosporine, use of repaglinide is not recommended.”

Check it at the source: the cyclosporine FDA label on DailyMed (effective August 10, 2026, Novartis Pharmaceuticals Corporation); the letermovir FDA label on DailyMed (effective January 14, 2026, Merck Sharp & Dohme LLC).

What does the cyclosporine label say about letermovir?

Cyclosporine's label (effective August 10, 2026) and its 3 other brand-application labels do not name letermovir 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

What does the letermovir label say about cyclosporine?

Letermovir label, contraindications

PREVYMIS is contraindicated with pitavastatin and simvastatin when co-administered with cyclosporine.

Letermovir label, drug interactions

Concomitant Drug Class and/or Clearance Pathway/Drug Name: Examples: glyburide, repaglinide, rosiglitazone; Effect on Concentration ↓ =decrease, ↑ =increase: ↑ glyburide ↑ repaglinide ↑ rosiglitazone; Clinical Comments: When PREVYMIS is co-administered with glyburide, repaglinide, or rosiglitazone, frequently monitor glucose concentrations. When PREVYMIS is co-administered with cyclosporine, use of repaglinide is not recommended.

Source: FDA drug label (PREVYMIS), Merck Sharp & Dohme LLC, effective January 14, 2026 (SPL set 1b49df80-be4f-47e0-a0b7-123f3e69395b), 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

14Cyclosporine generic labelers
0Letermovir generic labelers
CyclosporineLetermovir
Labeled forOrgan transplant rejection, Rheumatoid arthritisn/a
Boxed warningYesNo
Pharmacy cost (NADAC)$1.04 per unit 0.05% eye emulsionn/a
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?