Use of Rifampicin as a Cytochrome Inducer in Acute Tacrolimus Poisoning

Tacrolimus is an essential immunosuppressive drug in lung transplantation. It is metabolized by cytochrome P450, which can cause interactions with many drugs. We present a case of acute tacrolimus poisoning in a lung transplant patient following administration of nirmaltrevir/ritonavir, as well as treatment with rifampicin, acytochrome inducer, which allowed blood levels of tacrolimus to be reduced to appropriate values.

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Journal
Open Respiratory Archives
Published
2025-12-03
DOI
https://doi.org/10.1016/j.opresp.2025.100528
Primary Topic
Renal Transplantation Outcomes and Treatments
Type
article
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article

Use of Rifampicin as a Cytochrome Inducer in Acute Tacrolimus Poisoning

Alicia de Pablo Gafas, Rodrigo Alonso, M. Mar Rodríguez, Juan Margallo Iribarnegaray et al.
Open Respiratory Archives
Renal Transplantation Outcomes and Treatments
article

Use of Rifampicin as a Cytochrome Inducer in Acute Tacrolimus Poisoning

Alicia de Pablo Gafas, Rodrigo Alonso, M. Mar Rodríguez, Juan Margallo Iribarnegaray, Lucía Ortega Ruiz, Carlos Andrés Quezada Loaiza
article en

Abstract

Tacrolimus is an essential immunosuppressive drug in lung transplantation. It is metabolized by cytochrome P450, which can cause interactions with many drugs. We present a case of acute tacrolimus poisoning in a lung transplant patient following administration of nirmaltrevir/ritonavir, as well as treatment with rifampicin, acytochrome inducer, which allowed blood levels of tacrolimus to be reduced to appropriate values.

Open Respiratory ArchivesVol. 8(1)
Hospital Universitario 12 De Octubre (ES)
Openalex Percentile: Top 41%
Renal Transplantation Outcomes and Treatments
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Use of Rifampicin as a Cytochrome Inducer in Acute Tacrolimus Poisoning — Alicia de Pablo Gafas, Rodrigo Alonso, et al. · Open Respiratory Archives (2025) | TGRS Research Map | TGRS