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MMST, MBBS
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M.Pharm, MBBS
Last updated
25 Nov 2023 | 11:59 PM (IST)

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Sandimmun Neoral 25mg Capsule

Prescription Required
SALT COMPOSITION
Salt Synonyms
Cyclosporin, Cyclosporine

Product introduction

Sandimmun Neoral 25mg Capsule is used to prevent the body from rejecting a new organ after a liver, kidney, heart transplant, or bone marrow transplantation. It weakens the immune system so that your body does not attack the new organ. It is also used to treat nephrotic syndrome, severe rheumatoid arthritis, and psoriasis.

Sandimmun Neoral 25mg Capsule is used to prevent the body rejecting the organ that is transplanted

Uses of Sandimmun Neoral Capsule

Benefits of Sandimmun Neoral Capsule

In Prevention of organ rejection in transplant patients

Sandimmun Neoral 25mg Capsule belongs to a group of medicines known as immunosuppressive agents. It lowers your immune response and reduces the chance of your body attacking the transplanted organ. Organ rejection happens when your immune system treats the new organ as an invader and attacks it. This medicine suppresses the immune system and helps your body accept the new organ as if it were your own.

In Treatment of Rheumatoid arthritis

Rheumatoid arthritis is an autoimmune condition where your body’s immune system (which usually fights bacteria and viruses) attacks your body’s own cells. Sandimmun Neoral 25mg Capsule stops that from happening and can relieve the symptoms of this condition such as pain, swelling, and stiffness in your joints. It can also slow down joint damage, reduce disability, and enable you to be as active for as long as possible. It can take several weeks or months to notice the effect of the medicine. You should continue taking it until your doctor says it is okay to stop using the medicine.

In Treatment of Psoriasis

Sandimmun Neoral 25mg Capsule can be used to treat severe psoriasis when other treatments have not worked or are not appropriate. Psoriasis happens when skin cells are replaced more quickly than usual. This medicine can improve your skin and reduce the symptoms of rash, redness, and pain. The improvement in the appearance of your skin can boost your confidence and improve your life. Psoriasis is a long-term condition. You should keep taking this medicine for as long as it is prescribed.

In Prevention of graft rejection following Bone marrow transplantation

Sandimmun Neoral 25mg Capsule suppresses the immune response, reducing the risk of the recipient's immune system attacking and rejecting the transplanted bone marrow. This increases the success rate of the transplant and allows for the restoration of normal blood cell production and immune function.

In Treatment of Nephrotic syndrome

Nephrotic syndrome is a kidney disorder that causes your body to pass too much protein in your urine accompanied with excessive swelling over various parts of the body such as around the eyes and in the feet and ankles. Sandimmun Neoral 25mg Capsule works by suppressing the immune system thereby reducing inflammation and swelling that occur in nephrotic syndrome. It reduces the protein in the urine and also helps in getting rid of the extra fluid, thereby relieving the swelling over different parts of the body. This helps to restore the normal kidney function and prevents further damage to the kidneys.

Side effects of Sandimmun Neoral Capsule

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Sandimmun Neoral

  • Headache
  • Nausea
  • Vomiting
  • Increased hair growth
  • High blood pressure
  • Renal dysfunction
  • Loss of appetite
  • Diarrhea
  • Tremors
  • Gingival hypertrophy (gum enlargement)

How to use Sandimmun Neoral Capsule

Take this medicine in the dose and duration as advised by your doctor. Sandimmun Neoral 25mg Capsule may be taken with or without food, but it is better to take it at a fixed time.

How Sandimmun Neoral Capsule works

Sandimmun Neoral 25mg Capsule is an immunosuppressant. It works by suppressing your body’s immune response to help accept a newly transplanted organ (e.g., liver, kidney, or heart). In rheumatoid arthritis, this immunosuppressive effect reduces inflammation (swelling) of joints and limits joint damage. In psoriasis, it works by reducing the activity of certain immune cells that cause overproduction of skin cells, thus improving scaling and redness.

Safety advice

Alcohol
SAFE
Consuming alcohol with Sandimmun Neoral 25mg Capsule does not cause any harmful side effects.
Pregnancy
CONSULT YOUR DOCTOR
Sandimmun Neoral 25mg Capsule may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
Breast feeding
UNSAFE
Sandimmun Neoral 25mg Capsule is unsafe to use during breastfeeding. Data suggests that the drug may cause toxicity to the baby.
Driving
CONSULT YOUR DOCTOR
It is not known whether Sandimmun Neoral 25mg Capsule alters the ability to drive. Do not drive if you experience any symptoms that affect your ability to concentrate and react.
Kidney
CAUTION
Sandimmun Neoral 25mg Capsule should be used with caution in patients with kidney disease. Dose adjustment of Sandimmun Neoral 25mg Capsule may be needed. Please consult your doctor.
Regular monitoring of kidney function test is advised while you are taking this medicine.
Liver
CAUTION
Sandimmun Neoral 25mg Capsule should be used with caution in patients with liver disease. Dose adjustment of Sandimmun Neoral 25mg Capsule may be needed. Please consult your doctor.
Regular monitoring of kidney function test is advised while you are taking this medicine.

All substitutes

For informational purposes only. Consult a doctor before taking any medicines.
Sandimmun Neoral 25mg Capsule
₹28.7/Capsule
₹28.79/capsule
same price
Iminoral 25mg Capsule
Emcure Pharmaceuticals Ltd
₹27.11/capsule
6% cheaper
₹26.21/capsule
9% cheaper
₹24.62/capsule
14% cheaper
Graftin 25mg Capsule
Sun Pharmaceutical Industries Ltd
₹13.3/capsule
54% cheaper

Quick tips

  • Sandimmun Neoral 25mg Capsule is used to prevent organ rejection in transplant patients. 
  • It is also used to treat arthritis and immune disorders of the eyes, lungs, muscles, skin, nerves, and blood vessels.
  • It may take 3 to 4 months for the medication to work. Keep taking it as prescribed.
  • Your doctor may get regular blood tests done to check the levels of blood cells in your blood. Inform your doctor if you experience unexplained bruising or bleeding, sore throat, mouth ulcers, fever or general illness. 
  • Your doctor may monitor your kidney function regularly. Drink 8 to 10 glasses of water per day to help with your kidney function.
  • Do not stop taking Sandimmun Neoral 25mg Capsule without talking to your doctor first.

Fact Box

Chemical Class
Cyclosporin Derivative
Habit Forming
No
Therapeutic Class
PAIN ANALGESICS
Action Class
Immunosuppressant- Calcineurin inhibitors

Patient concerns

arrow
I have Myeloma. 70% in my body. What is the best tretment?
Dr. Vijay Sharnangat
Medical Oncology and Hematology
It's chemotherapy with cyborD4 cycles followed by bone marrow transplant
Sir/Ma'am, I feel pain in the heel of both the legs especially when I get up from the bed in the morning. After walking couple of steps, it goes away. there is no bone problem reported in the Xray report. Please guide me what could be the reason?
Dr. Mehtab Baig
Orthopaedic Physiotherapy
This is the test for rheumatoid arthritis
arrow

User feedback


FAQs

Is Sandimmun Neoral 25mg Capsule a steroid?

No, Sandimmun Neoral 25mg Capsule is not a steroid. It belongs to a group of medicines known as immunosuppressive agents. It decreases the action of the body’s immune system.

Can Sandimmun Neoral 25mg Capsule cause weight gain?

Yes, Sandimmun Neoral 25mg Capsule may cause weight gain. However, the changes in weight are uncommon side effects of this medicine. Consult your doctor if these side effects worry you.

Does Sandimmun Neoral 25mg Capsule cause hair growth?

Yes, the use of Sandimmun Neoral 25mg Capsule may cause abnormal hair growth (hypertrichosis) as a common side effect of Sandimmun Neoral 25mg Capsule, though it does not affect everyone.

Does Sandimmun Neoral 25mg Capsule cause fatigue?

Yes, Sandimmun Neoral 25mg Capsule may cause fatigue as a common side effect. However, fatigue could also be due to an underlying disease. Discuss with your doctor if this side effect worries you.

Do I need to get any tests done while being treated with Sandimmun Neoral 25mg Capsule?

Yes, the doctor may suggest tests to check the levels of Sandimmun Neoral 25mg Capsule in your blood, especially if you have had a transplant. You may also be advised to get your blood pressure checked before the start of your treatment and regularly during treatment. In addition, liver and kidney function tests along with your blood lipids (fats), will be checked.

Can Sandimmun Neoral 25mg Capsule cause cancer?

Sandimmun Neoral 25mg Capsule is known to suppress the immune system. This as a result, increases your risk of developing cancers, particularly of the skin and lymphoid system. You should limit your exposure to sunlight and UV light by wearing appropriate protective clothing. Sunscreen should be applied frequently with a high protection factor.

What are the side effects of Sandimmun Neoral 25mg Capsule?

Sandimmun Neoral 25mg Capsule may cause side effects such as headache, diarrhea, heartburn, increased hair growth on the face, arms, or back, growth of extra tissue on the gums, acne, flushing, and uncontrollable shaking of a part of your body. You may also experience burning or tingling sensation in the hands, arms, feet, or legs, muscle or joint pain, cramps, pain or pressure in the face, ear problems, breast enlargement in men, depression and difficulty falling asleep or staying asleep.

How should Sandimmun Neoral 25mg Capsule be taken?

Take Sandimmun Neoral 25mg Capsule strictly as advised by your doctor. The doctor will decide and carefully adjust your dose according to your medical requirements. It is important to keep a constant amount of Sandimmun Neoral 25mg Capsule in the body, and hence, the medicine should be taken at the same time each day. Not only is the time of day important, but also when Sandimmun Neoral 25mg Capsule is taken concerning meals.

How long do I need to take Sandimmun Neoral 25mg Capsule?

Take Sandimmun Neoral 25mg Capsule for as long as the doctor has advised. The duration of treatment depends on whether you are taking it after a transplant or for the treatment of other conditions. Usually, the treatment may last for 8 weeks if you are taking it for severe rash.

What is Sandimmun Neoral 25mg Capsule used for?

Sandimmun Neoral 25mg Capsule is used in combination with other medications which are used to prevent transplant rejection (attack of the transplanted organ by the immune system of the person who received the organ) in people who have received kidney, liver and heart transplants. These combination medicines also help to treat the symptoms of rheumatoid arthritis (a disease, affecting the joints with pain and swelling) in patients whose symptoms were not relieved by methotrexate alone. It is also used to treat psoriasis (a skin disease in which red, scaly patches form on some areas of the body), and atopic dermatitis (skin allergies).

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References

  1. Burkhart C, Morrell D, Goldsmith L. Dermatological Pharmacology. In: Brunton LL, Chabner BA, Knollmann BC, editors. Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. 12th ed. New York, New York: McGraw-Hill Medical; 2011. p. 1821.
  2. Wallace JL, Sharkey KA. Pharmacotherapy of Inflammatory Bowel Disease. In: Brunton LL, Chabner BA, Knollmann BC, editors. Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. 12th ed. New York, New York: McGraw-Hill Medical; 2011. pp. 1358-59.
  3. Furst DE, Ulrich RW, Varkey-Altamirano C. Nonsteroidal Anti-Inflammatory Drugs, Disease Modifying Antirheumatic Drugs, Nonopioids Analgesics, & Drugs Used in Gout. In: Katzung BG, Masters SB, Trevor AJ, editors. Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. pp. 630-31.
  4. Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. pp. 340-42.
  5. Ciclosporine. Camberley, Surrey: Novartis Pharmaceuticals UK Ltd.; 1983 [revised 24 Jul. 2015]. [A cessed 25 Jan. 2019].(online) Available from:External Link
  6. Cyclosporine. East Hanover, New Jersey: Novartis Pharmaceuticals Corporation. [Accessed 06 Apr. 2019] (online) Available from:External Link
  7. Chaves RG, Lamounier JA. Breastfeeding and maternal medications. J Pediatr (Rio J). 2004;80(5 Suppl):S189-S198. [Accessed 03 Apr. 2019] (online) Available from:External Link
  8. Cyclosporine [Product Monograph]. Quebec, Canada: Novartis Pharmaceuticals Canada Inc.; 2023. [Accessed 16 Jun. 2023] (online) Available from:External Link

Marketer details

Name: Novartis India Ltd
Address: Sandoz House, Shiv Sagar Estate, Worli Mumbai -400 018, India
Country of origin: India
Expires on or after: February, 2025

A licensed vendor partner from your nearest location will deliver Sandimmun Neoral 25mg Capsule. Once the pharmacy accepts your order, the details of the pharmacy will be shared with you. Acceptance of your order is based on the validity of your doctor's ℞ and the availability of this medicine.

In case of any issues, contact us

Email ID: [email protected]
Phone Number: 0124-4166666
Address: 5th Floor Tower - B of the Presidency Building, 46/4 Mehrauli Gurgaon Road, Sector 14, Gurugram, Haryana-122001, India

MRP
1435
Inclusive of all taxes
50.0 capsules in 1 box
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Cash on delivery available

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