Sandimmun. Sandimmun Neoral 50 mg per 1 ml. 100 mg per 1 ml. 25 mg. 100 mg Ampoule. Drink Solution. Capsule
Clinical Summary
Quick overview from the medicine insert
Indication
Prophylaxis of graft rejection and treatment of severe psoriasis, rheumatoid arthritis, and atopic dermatitis.
Dosage (summary)
Transplant: 10-15 mg/kg pre-op, then 2-6 mg/kg; Psoriasis: 2.5-5 mg/kg; RA: 2.5-5 mg/kg.
Special Populations
- Renal impairment
- Hepatic impairment
- Elderly
Pregnancy & Breastfeeding
Use only if benefits outweigh risks; avoid breastfeeding.
Key Drug Interactions
- Grapefruit juice increases ciclosporin levels
- Avoid live vaccines
- Caution with potassium-sparing diuretics
Contraindications
- Hypersensitivity to ciclosporin
- Abnormal renal function
- Uncontrolled hypertension
Common side effects
- Renal dysfunction
- Hypertension
- Tremor
- Nausea
- Diarrhoea
Counselling Points
- Monitor renal function regularly
- Avoid grapefruit juice
- Report any signs of infection or unusual symptoms
Serious warnings
- Increased risk of malignancies
- Risk of infections
- Anaphylactoid reactions with IV use
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