home *** CD-ROM | disk | FTP | other *** search
- $Unique_ID{BRK03114}
- $Pretitle{}
- $Title{cyclosporine}
- $Subject{Sandimmune Sandoz Immunosuppressant cyclosporine organ rejection
- kidney liver heart transplants rejection foreign tissue}
- $Volume{}
- $Log{}
-
- Copyright (C) 1993 Publications International, Ltd.
-
-
- cyclosporine
- ------------------------------------------------------------------------------
-
- BRAND NAME (Manufacturer)
-
- Sandimmune (Sandoz)
-
- TYPE OF DRUG
-
- Immunosuppressant
-
- INGREDIENT
-
- cyclosporine
-
- DOSAGE FORMS
-
- Oral solution (100 mg per ml, with 12.5% alcohol)
- Soft gelatin capsules (25 mg and 100 mg)
-
- STORAGE
-
- Cyclosporine oral solution and capsules should be stored in the original
- container at room temperature. This medication should never be refrigerated
- or frozen. Once the solution has been opened, it should be used within two
- months.
-
- USES
-
- Cyclosporine is used to prevent organ rejection after kidney, liver, and
- heart transplants. It is not clearly understood how cyclosporine works, but
- it appears to prevent the body's rejection of foreign tissue.
-
- TREATMENT
-
- To make it more palatable, the solution should be diluted with milk,
- chocolate milk, or orange juice (preferably at room temperature). The dose
- should be measured carefully with the dropper provided and placed in one of
- the fluids listed above. Use a glass container (cyclosporine chemically binds
- to wax-lined and plastic surfaces). Stir well and drink at once--do not allow
- the mixture to stand before drinking. Refill the glass with the same beverage
- and drink this solution to ensure that the whole dose is taken. The dropper
- should be wiped with a clean towel after use and stored in its container. If
- the dropper has been cleaned, make sure it is completely dry before using it
- again.
- It is important not to miss any doses of this medication. If you do miss
- a dose, take the missed dose as soon as possible, unless it is almost time for
- the next dose. In that case, do not take the missed dose at all; just return
- to your regular dosing schedule. Do not double the next dose.
-
- SIDE EFFECTS
-
- Minor.
-
- Abdominal discomfort, diarrhea, flushing, headache, hiccups, leg cramps,
- loss of appetite, nausea, or vomiting. These side effects should disappear as
- your body adjusts to the medication.
-
- Major.
-
- Tell your doctor about any side effects that are persistent or
- particularly bothersome. IT IS ESPECIALLY IMPORTANT TO TELL YOUR DOCTOR about
- acne; bleeding, tender, or enlarged gums; convulsions; difficult or painful
- urination; enlarged and painful breasts (in both sexes); fever; hair growth;
- hearing loss; muscle pain; rapid weight gain (three to five pounds within a
- week); sore throat; tingling of the hands or feet; tremors; unusual bleeding
- or bruising; or yellowing of the eyes or skin.
-
- INTERACTIONS
-
- Cyclosporine interacts with several other types of drugs:
- 1. Carbamazepine, isoniazid, rifampin, phenytoin, phenobarbital, and
- trimethoprim/sulfamethoxazole can decrease the blood levels of cyclosporine,
- decreasing its effectiveness.
- 2. Cimetidine, diltiazem, erythromycin, ketoconazole, oral
- contraceptives, danazol, and amphotericin B can increase the blood levels of
- cyclosporine, which can lead to an increase in side effects.
- 3. Tell your doctor if you are currently taking corticosteroids,
- verapamil, or nonsteroidal anti-inflammatory drugs.
- BE SURE TO TELL YOUR DOCTOR about any medications you are currently
- taking.
-
- WARNINGS
-
- * Tell your doctor about unusual or allergic reactions you have had to
- any medications, especially to cyclosporine or to polyoxyethylated castor oil.
- * Before starting to take this medication, be sure to tell your doctor if
- you now have or if you have ever had hypertension (high blood pressure) or
- gastrointestinal disorders.
- * Repeated laboratory tests are necessary while you are taking
- cyclosporine to ensure that you are receiving the correct dosage and to avoid
- liver and kidney damage.
- * Certain cancers have occurred in patients receiving cyclosporine and
- other immunosuppressant drugs after transplantation. No causal effect has
- been established, however.
- * Do not stop taking this medication without first consulting your
- doctor. If the drug is stopped abruptly, organ rejection may occur. Your
- doctor may, therefore, want to reduce your dosage gradually or start you on
- another drug if treatment with this drug is to be discontinued.
- * Be sure to tell your doctor if you are pregnant. Although extensive
- studies in humans have not been conducted, cyclosporine has caused fetal
- damage when administered to animals. Also, tell your doctor if you are
- breast-feeding, because cyclosporine passes into breast milk.
-
- ----------------
-
- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
-