Tacrolimus-Teva Drug Interactions

Tell the doctor or pharmacist if the patient is taking or have recently taken any other medicines, including medicines obtained without a prescription and herbal preparations.
Tacrolimus-Teva must not be taken with cyclosporine.
Tacrolimus-Teva blood levels can be affected by other medicines taken, and blood levels of other medicines can be affected by taking Tacrolimus-Teva which may require an increase or decrease in dose. In particular, tell the doctor if the patient is taking or have recently taken medicines like: Antifungal medicines and antibiotics, particularly so-called macrolide antibiotics, used to treat infections, such as ketoconazole, fluconazole, itraconazole, voriconazole, clotrimazole, erythromycin, clarithromycin, josamycin and rifampicin.
HIV medicines (e.g. ritonavir), used to treat HIV infection.
Medicines for stomach ulcer and acid reflux (e.g. omeprazole, lansoprazole or cimetidine).
The contraceptive pill or other hormone treatments with ethinylestradiol, hormone treatments with danazol.
Medicines used to treat high blood pressure or heart problems (e.g. nifedipine, nicardipine, diltiazem and verapamil).
Medicines known as "statins" used to treat elevated cholesterol and triglycerides.
Phenytoin or phenobarbital, used to treat epilepsy.
The corticosteroids prednisolone and methylprednisolone, belonging to the class of corticosteroids used to treat inflammations or suppress the immune system (e.g. in transplant rejection).
Nefazodone, used to treat depression.
Herbal preparations containing St. John's Wort (Hypericum perforatum).
Tell the doctor if the patient is taking or needs to take ibuprofen, amphotericin B or antivirals (e.g. aciclovir). These may worsen kidney or nervous system problems when taken together with Tacrolimus-Teva.
The doctor also needs to know if the patient is taking potassium supplements or certain diuretics used for heart failure, hypertension and kidney disease, (e.g. amiloride, triamterene or spironolactone), non-steroidal anti-inflammatory drugs (NSAIDs, e.g. ibuprofen) used for fever, inflammation and pain, anticoagulants (blood thinners), or oral medicines for diabetes, while taking Tacrolimus-Teva.
If the patient needs vaccinations, tell the doctor in advance that this medicine is being taken.
Taking Tacrolimus-Teva with food and drink: Take Tacrolimus-Teva on an empty stomach or 2 to 3 hours after a meal. Wait at least 1 hour until the next meal. Avoid grapefruit (also as juice) while on treatment with Tacrolimus-Teva since it can affect its levels.