Drug Interaction Report

Golimumab and Cyclosporine Injection: Interaction Details

AI-assisted, pharmacist-reviewed · Source data updated Aug 8, 2026 · Sources: FDA labeling, DDInter 2.0, cited literature

Cyclosporine Injection

Atopica Cequa Cyclavance Gengraf Modulis Neoral Optimmune Restasis
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Golimumab

No brand names on record
Dr. Brian Staiger, PharmD, BCPS
Medically reviewed by
Updated Aug 8, 2026
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Interaction severity
Moderate
Can be significant — usually manageable with monitoring.
How we grade severity & evidence

Severity levels

  • Contraindicated: These should generally not be used together.
  • Major: Potentially serious — often needs a change or close monitoring.
  • Moderate: Can be significant — usually manageable with monitoring.
  • Minor: Usually limited clinical impact.

Evidence grades

  • Established: Well documented — supported by controlled studies or strong clinical data.
  • Probable: Good supporting evidence, though not definitively proven.
  • Suspected: Some evidence suggests this interaction, but it is not well established.
  • Possible: Limited or conflicting evidence; the interaction may occur.
  • Theoretical: Predicted from the drugs' pharmacology; not yet confirmed in people.

Ratings come from the documented interaction literature and are reviewed by a pharmacist. They describe the documented risk of the combination, not what will necessarily happen to you — your dose, timing, and health picture all matter.

Of 12 documented Golimumab interactions, 2 are rated moderate — including this one.
Onset
unspecified
Evidence
theoretical
Severity
Moderate

What happens

Increased cycloSPORINE exposure

Interaction Deep Dive

Concomitant use of golimumab-sldi and cycloSPORINE may increase the cycloSPORINE exposure. Monitor the cycloSPORINE exposure and the individual dose of the drugs may be adjusted as needed12.

Why it happens (mechanism)

Suppression of CYP450 enzymes by increased levels of cytokines (TNFa) during chronic inflammation

Common questions

Can I take Golimumab and Cyclosporine Injection together?

Increased cycloSPORINE exposure Always confirm with your pharmacist or prescriber before making any change.

How serious is the Golimumab and Cyclosporine Injection interaction?

It is rated moderate. Can be significant — usually manageable with monitoring.

How quickly could this interaction happen?

The documented onset is "unspecified". The timing of this interaction is not well characterized.

How strong is the evidence for this interaction?

The evidence is graded "theoretical". Predicted from the drugs' pharmacology; not yet confirmed in people.

Questions for your pharmacist

  • Does my dose of Golimumab or Cyclosporine Injection need adjusting while I take them together?
  • What symptoms should prompt me to call you or my prescriber right away?
  • Does the timing of my doses matter for this combination?
  • Is there anything you'd monitor while I'm on both?

References (2)

  1. Product Information: IMMGOLIS INTRI™ intravenous injection, golimumab-sldi intravenous injection. Accord BioPharma, Inc. Raleigh, NC, 2026.
  2. Product Information: IMMGOLIS™ subcutaneous injection, golimumab-sldi subcutaneous injection. Accord BioPharma, Inc, Raleigh, NC, 2026.
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Beyond drug–drug

These medications also interact with supplements

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major · moderate · minor — check everything you take with our drug–supplement interaction checker.

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This information is for education, not a substitute for professional medical advice. Do not start, stop, or change any medication without talking to your pharmacist or prescriber.