Caspofungin and Tacrolimus interaction

Caspofungin and Tacrolimus: both prescribing labels describe an interaction that usually calls for monitoring, a dose change, or spacing the doses.

Moderate

Usually manageable with monitoring or a dose change. Tell your pharmacist you take both.

What the FDA labels say

From the Caspofungin (Caspofungin Acetate) label · effective 2026-01-08

Moderate

Tacrolimus : For patients receiving Caspofungin acetate for Injection and tacrolimus, standard monitoring of tacrolimus trough whole blood concentrations and appropriate tacrolimus dosage adjustments are recommended.

Drug interactionsnames TacrolimusView label on DailyMed

From the Tacrolimus (ASTAGRAF XL) label · effective 2026-01-14

Moderate

Caspofungin May decrease tacrolimus whole blood trough concentrations.

Drug interactionsnames CaspofunginView label on DailyMed

Taking more than these two? Interactions stack. Check your whole list at once; it stays in your browser.

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Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.