Severe Acute Ulcerative Colitis Refractory To Corticosteroid Treatment:
By IV Infusion:
Adult: 2 Mg/kg, To Be Given Over 24 Hours, Dose Adjusted According To Blood-ciclosporin Concentration And Response
Severe Active Rheumatoid Arthritis When Conventional Second-line Therapy Inappropriate Or Ineffective:
Adult: Initially 2.5 Mg/kg Daily In 2 Divided Doses, Increased Gradually If Necessary Up To 4 Mg/kg Daily After6 Weeks, Discontinue If Response Insufficient After 3 Months, Dose Adjusted According To Response For Maintenance And Treatment Reviewed After 6 Months
Short-term Treatment Of Severe Atopic Dermatitis Where Conventional Therapy Ineffective Or Inappropriate, Severe Psoriasis Where Conventional Therapy Ineffective Or Inappropriate:
Adult: Initially 1.25 Mg/kg Twice Daily (max. Per Dose2.5 Mg/kg Twice Daily) Usual Maximum Duration Of8 Weeks But May Be Used For Longer Under Specialist Supervision, Discontinue If Inadequate Response After 3 Months At The Optimum Dose; Max Duration Of Treatment Usually 1 Year
Organ Transplantation (used Alone):
Adult: 10-15 Mg/kg, To Be Administered 4-12 Hours Before Transplantation, Followed By 10-15 Mg/kg Daily For 1-2 Weeks Postoperatively, Then Maintenance2-6 Mg/kg Daily, Reduce Dose Gradually To Maintenance. Dose Should Be Adjusted According To Blood-ciclosporin Concentration And Renal Function; Dose Is Lower If Given Concomitantly With Other Immunosuppressant Therapy (e.g. Corticosteroids)
Bone-marrow Transplantation, Prevention And Treatment Of Graft-versus-host Disease:
By IV Infusion:
Adult: 3-5 Mg/kg Daily, To Be Administered Over 2-6 Hours From the Day Before Transplantation To 2 Weeks Postoperatively, Alternatively; Oral, Initially12.5-15 Mg/kg Daily, Then 12.5 Mg/kg Daily For 3-6 Months And Then Tailed Off (may Take Up To A Year After Transplantation)
Nephrotic Syndrome:
Adult: 5 Mg/kg Daily In 2 Divided Doses, For Maintenance, Reduce To Lowest Effective Dose According To Proteinuria And Serum Creatinine Measurements; Discontinue After 3 Months If No Improvement In Glomerulonephritis Or Glomerulosclerosis (after 6 Months In Membranous Glomerulonephritis)
Content
Cap 25mg /50mg /100mg: cyclosporin 25mg /50mg /100mg,
Inj 250mg: Cyclosporin 250mg
Pregnancy
Consult with Doctor Or Caution Advised
Stability
Immunosuppressant
Lymphokines Inhibitor
Contra Indications
Pregnancy, Lactation. In Non-transplant Indications: Abnormal Baseline Renal Function, Malignancy, Uncontrolled Hypertension And Uncontrolled Infections
Precautions
Pregnancy, Lactation. In Non-transplant Indications: Abnormal Baseline Renal Function, Malignancy, Uncontrolled Hypertension And Uncontrolled Infections
Lactation
Consult with Doctor Or Caution Advised
Side Effects
Acne
Anorexia
Convulsion
Fatigue
Flushing
Gingival Hyperplasia
Headache
Hepatic Dysfunction
Hirsutism
Hyperglycaemia
Hyperkalaemia
Hyperlipidaemia
Hypertension
Hypertrichosis
Hyperuricaemia
Hypomagnesaemia
Leucopenia
Muscle Cramps
Myalgia
Gi Upset
Paraesthesia
Peptic Ulcer
Pyrexia
Renal Dysfunction (renal Structural Changes On Long-term Administration)
Tremor
Anaemia
Oedema
Signs Of Encephalopathy
Thrombocytopenia
Weight Gain
Gynaecomastia
Haemolytic Uraemic Syndrome
Menstrual Disturbances
Micro-angiopathic Haemolytic Anaemia
Motor Polyneuropathy
Muscle Weakness
Myopathy
Pancreatitis
Visual Disturbances.
Rare: Secondary To Benign Intracranial Hypertension