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U.S. Department of Health and Human Services

Safety

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Prograf (tacrolimus) capsules and injection

Detailed View: Safety Labeling Changes Approved By FDA Center for Drug Evaluation and Research (CDER)  

 

July 2012

Summary View

WARNINGS AND PRECAUTIONS

  • Use with CYP3A4 Inhibitors and Inducers Including Those That Prolong QT When coadministering tacrolimus with other substrates and/or inhibitors of CYP3A4 that also have the potential to prolong the QT interval, a reduction in tacrolimus dose, close monitoring of tacrolimus whole blood concentrations, and monitoring for QT prolongation is recommended. Use of tacrolimus with amiodarone has been reported to result in increased tacrolimus whole blood concentrations with or without concurrent QT prolongation.

DRUG INTERACTIONS

Protease Inhibitors
  • ….Whole blood concentrations of tacrolimus are markedly increased when coadministered with telaprevir or with boceprevir.
Others
  • amiodarone

 

 

February 2012

Summary View

 

ADVERSE REACTIONS

Postmarketing Adverse Reactions

Hemic/Lymphatic

  • Agranulocytosis
  • hemolytic anemia

     

 

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