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What the FDA labels say about taking them together

Cyclosporine and diflunisal

Diflunisal's FDA label of August 4, 2026 names cyclosporine in its drug interactions section; cyclosporine's label does not name diflunisal itself but warns about its class (NSAIDs (nonsteroidal anti-inflammatory drugs)). The diflunisal label: “Cyclosporine Administration of non-steroidal anti-inflammatory drugs concomitantly with cyclosporine has been associated with an increase in cyclosporine-induced toxicity, possibly due to decreased synthesis of renal …”

Check it at the source: the cyclosporine FDA label on DailyMed (effective August 10, 2026, Novartis Pharmaceuticals Corporation); the diflunisal FDA label on DailyMed (effective August 4, 2026, Heritage Pharmaceuticals Inc. d/b/a Avet Pharmaceuticals Inc.).

What does the cyclosporine label say about diflunisal?

Cyclosporine's label does not name diflunisal itself; it warns about its class (NSAIDs (nonsteroidal anti-inflammatory drugs)):

Cyclosporine label, drug interactions

In addition, concomitant use of NSAIDs with cyclosporine, particularly in the setting of dehydration, may potentiate renal dysfunction.

Cyclosporine label, drug interactions

Cyclosporine may reduce the clearance of digoxin, colchicine, prednisolone, HMG-CoA reductase inhibitors (statins), aliskiren, bosentan, dabigatran, repaglinide, NSAIDs, sirolimus, etoposide, and other drugs.

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 diflunisal label say about cyclosporine?

Diflunisal label, drug interactions

Cyclosporine Administration of non-steroidal anti-inflammatory drugs concomitantly with cyclosporine has been associated with an increase in cyclosporine-induced toxicity, possibly due to decreased synthesis of renal prostacyclin.

Source: FDA drug label (diflunisal), Heritage Pharmaceuticals Inc. d/b/a Avet Pharmaceuticals Inc., effective August 4, 2026 (SPL set 666f89b4-fd81-420a-a390-eb1cd4014f61), 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
6Diflunisal generic labelers
CyclosporineDiflunisal
Labeled forOrgan transplant rejection, Rheumatoid arthritisPain, Osteoarthritis, Rheumatoid arthritis
Boxed warningYesYes
Pharmacy cost (NADAC)$1.04 per unit 0.05% eye emulsion$1.06 per tablet 500 mg tablet
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?