Graftac 0,5 / Graftac 1 / Graftac 5 Tacrolimus Sandoz 0,5 / Tacrolimus Sandoz 1 / Tacrolimus Sandoz 5 0,5 mg, 1 mg and 5 mg, Hard gelatine capsule.
Clinical Summary
Quick overview from the medicine insert
Indication
Primary immunosuppression in liver and kidney allograft recipients.
Dosage (summary)
Initial oral dose: 0.10-0.20 mg/kg/day for liver; 0.15-0.40 mg/kg/day for kidney, in two divided doses.
Special Populations
- Renal impairment
- Hepatic impairment
Pregnancy & Breastfeeding
Contraindicated in pregnancy; excreted in breast milk, not recommended during lactation.
Key Drug Interactions
- CYP3A4 inhibitors
- CYP3A4 inducers
- Ciclosporin
Contraindications
- Hypersensitivity to tacrolimus
- Pregnancy
- Concomitant use with live vaccines
Common side effects
- Infections
- Hypertension
- Hyperglycemia
- Nephrotoxicity
Counselling Points
- Take on an empty stomach
- Monitor for signs of infection
- Avoid grapefruit juice
Serious warnings
- Risk of graft rejection
- QT prolongation
- Increased risk of malignancies
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