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Furosemide and Cyclosporine Interaction

Drug interaction information between Furosemide and Cyclosporine.

Furosemide and Cyclosporine have a documented moderate interaction in FDA labeling.

FDA drug labeling documents a moderate-severity interaction between Furosemide and Cyclosporine. Major interactions are generally avoided, moderate ones may need monitoring or a dose adjustment, and minor ones are usually low-risk. This page shows the documented mechanism and guidance. Label-documented interactions are not a complete safety review, so always confirm your own medications with a pharmacist or doctor. Educational information, not medical advice.

Drug A

Furosemide

Loop Diuretic

Drug B

Cyclosporine

Calcineurin Inhibitor (Immunosuppressant)

How They Interact

Furosemide raises uric acid levels in the blood, while cyclosporine makes it harder for the kidneys to remove it. This combination can cause uric acid to build up and lead to painful gouty arthritis.

What To Do

Your doctor should monitor your uric acid levels and watch for signs of joint pain. Dosage adjustments may be necessary if gout symptoms develop.

FDA Label Information

Concomitant use of cyclosporine and furosemide is associated with increased risk of gouty arthritis secondary to furosemide-induced hyperurecemia and cyclosporine impairment of renal urate excretion.

Frequently Asked Questions

Can I take Furosemide and Cyclosporine together?

This is a moderate interaction. Your doctor should monitor your uric acid levels and watch for signs of joint pain. Dosage adjustments may be necessary if gout symptoms develop.

How serious is the interaction between Furosemide and Cyclosporine?

This interaction is classified as "moderate" severity by the FDA. Moderate interactions may worsen your condition or change how your medications work.

Why do Furosemide and Cyclosporine interact?

Furosemide raises uric acid levels in the blood, while cyclosporine makes it harder for the kidneys to remove it. This combination can cause uric acid to build up and lead to painful gouty arthritis.

Understanding the Furosemide and Cyclosporine Interaction

FDA-approved prescribing information for these two drugs flags their combination as a moderate-severity interaction. Furosemide belongs to the Loop Diuretic class and Cyclosporine belongs to the Calcineurin Inhibitor (Immunosuppressant) class - two categories that can collide when co-prescribed. The mechanism described in FDA labeling is: Furosemide raises uric acid levels in the blood, while cyclosporine makes it harder for the kidneys to remove it. Severity tiers matter: major flags generally advise avoidance, moderate flags often require monitoring or dose adjustment, and minor flags may only call for awareness.

Context around a specific patient determines real-world impact. Furosemide has 36 total documented interactions on file in this dataset, and Cyclosporine has 89. Each additional medication compounds the interaction surface, which is why pharmacists run full-profile checks rather than evaluating one pair at a time. FDA-derived guidance for this pair is: Your doctor should monitor your uric acid levels and watch for signs of joint pain. Timing of doses, renal and hepatic function, age, and other concurrent prescriptions all shape whether a labeled interaction matters clinically.

An interaction flag is not a verdict. A large share of labeled interactions are managed routinely in clinical practice, the fix may be as simple as spacing doses or adding a monitoring test. Others require the prescriber to choose a different medication entirely. This page surfaces FDA-sourced labeling and openFDA data for educational purposes only; it is not medical advice and cannot account for your full clinical picture. Never start, stop, or adjust either Furosemide or Cyclosporine based on a web page, speak with your prescriber or pharmacist before making any change.

Sources: FDA Drug Labels (SPL) via openFDA (2026). This is for informational purposes only and is not medical advice. Always consult your healthcare provider about drug interactions.