Sandimmun Neoral 25mg Capsule

Sandimmun Neoral 25mg Capsule is a medication containing the active ingredient cyclosporine. It is available in capsule form and is commonly used as an immunosuppressive agent. Cyclosporine works by suppressing the immune system to prevent rejection in organ transplantation and to treat certain autoimmune conditions.

Active Ingredient:

• Cyclosporine: Cyclosporine is a calcineurin inhibitor that selectively inhibits T-cell activation and proliferation by blocking the production and release of interleukin-2 (IL-2), a cytokine involved in the immune response.

Mechanism of Action:

Sandimmun Neoral 25mg Capsule works by binding to cyclophilin, a cytoplasmic protein present in T lymphocytes. This complex inhibits the activity of calcineurin, preventing the dephosphorylation of nuclear factor of activated T cells (NF-AT). As a result, the transcription of genes encoding IL-2 and other cytokines necessary for T-cell activation is inhibited, leading to immunosuppression.

Uses:

Sandimmun Neoral 25mg Capsule is indicated for:

1. Prevention of organ rejection in kidney, liver, and heart transplant recipients.
2. Treatment of autoimmune conditions such as psoriasis, rheumatoid arthritis, and atopic dermatitis.

Dosage and Administration:

The dosage of Sandimmun Neoral 25mg Capsule is individualized based on the patient’s weight, medical condition, and response to therapy. It is usually taken orally once or twice daily. The dose may be adjusted gradually to achieve the desired therapeutic effect while minimizing side effects.

Side Effects:

Common side effects of Sandimmun Neoral 25mg Capsule may include:

• Hypertension (high blood pressure)
• Nephrotoxicity (kidney damage)
• Tremor
• Gingival hyperplasia (overgrowth of gum tissue)
• Headache
• Hypertrichosis (excessive hair growth)
• Gastrointestinal disturbances (e.g., nausea, vomiting, diarrhea)
• Increased susceptibility to infections

Precautions:

• Sandimmun Neoral 25mg Capsule should be used with caution in patients with impaired renal function, hypertension, or a history of seizures.
• Regular monitoring of renal function, blood pressure, and serum cyclosporine levels is necessary during treatment.
• Patients should be advised to avoid exposure to sunlight and use sun protection measures due to the risk of skin cancer associated with cyclosporine therapy.
• Sandimmun Neoral may interact with other medications, so patients should inform their healthcare provider about all prescription and over-the-counter drugs they are taking.

Conclusion:

Sandimmun Neoral 25mg Capsule containing cyclosporine is an effective immunosuppressive medication used for preventing organ rejection in transplant recipients and treating autoimmune diseases. By selectively inhibiting T-cell activation, cyclosporine helps suppress the immune response and improve transplant outcomes and disease management in autoimmune conditions.