Sandimmun. Sandimmun Neoral 50 mg per 1 ml. 100 mg per 1 ml. 25 mg. 100 mg Ampoule. Drink Solution. Capsule

Sandimmun. Sandimmun Neoral 50 mg per 1 ml. 100 mg per 1 ml. 25 mg. 100 mg Ampoule. Drink Solution. Capsule

S4
PDF Leaflet Revision Date: 13 January 2025


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
Important Disclaimer

The Sandimmun. Sandimmun Neoral 50 mg per 1 ml. 100 mg per 1 ml. 25 mg. 100 mg Ampoule. Drink Solution. Capsule professional information leaflet below is the property of Novartis South Africa and is provided on Medinsert exactly as issued, with no.. alterations or editorial changes. We make every effort to keep content current by updating documents as soon as new versions become available. Medinsert serves as a trusted access point for healthcare professionals, but does not replace official sources or clinical judgement. For more details, please read our full disclaimer. read more>>

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