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Factors influencing pharmacokinetics of calcineurin inhibitors

Factors influencing pharmacokinetics of calcineurin inhibitors
Absorption
Interacting medications (eg, cholestyramine)
Motility agents
Diarrhea or constipation
Presence or absence of food
Brand versus generic, formulation
Distribution
Hematocrit
Metabolism
Interacting prescription medications
Interacting over-the-counter medications
Interacting herbal supplements
Interacting beverages (eg, grapefruit juice)
Genetic polymorphism in CYP3A5
Hepatic impairment
Other
Timing of concentration
Type of laboratory immunoassay
Schedule and frequency
Adherence
Courtesy of Karen Hardinger, PharmD, BCPS.
Graphic 106494 Version 1.0