Prograf 0.5mg / 1mg / 5mg capsules
Clinical Summary
Quick overview from the medicine insert
Indication
Primary immunosuppression in organ transplant recipients.
Dosage (summary)
Initial oral dose: 0.1-0.4 mg/kg/day in two divided doses.
Special Populations
- Liver impairment
- Kidney impairment
- Elderly patients
- Paediatric patients
Pregnancy & Breastfeeding
Contraindicated in pregnancy and breastfeeding.
Key Drug Interactions
- CYP3A4 inhibitors (e.g., ketoconazole, ritonavir)
- CYP3A4 inducers (e.g., rifampicin, St. John's Wort)
- Ciclosporin
Contraindications
- Hypersensitivity to tacrolimus
- Pregnancy and lactation
- Concomitant use with live vaccines
Common side effects
- Infections
- Hypertension
- Diabetes mellitus
- Renal impairment
- Tremor
Counselling Points
- Take on an empty stomach for better absorption.
- Monitor for signs of infection.
- Avoid grapefruit juice.
Serious warnings
- Risk of infections and malignancies
- Careful monitoring required
- Not recommended for children under 18
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