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Cyclosporin

An immunosuppressant used after organ transplants and for rheumatoid arthritis and psoriasis.

Clinical information

Common uses

  • preventing organ transplant rejection
  • rheumatoid arthritis
  • psoriasis

Common side effects

  • high blood pressure
  • kidney problems

Cautions

  • raises infection risk and risk of lymphoma and skin cancers
  • kidney function must be monitored during treatment
  • Neoral and Sandimmune brands are not interchangeable
  • blood level monitoring needed

Interactions

  • many drugs raise or lower ciclosporin levels (CYP3A4)
  • grapefruit and grapefruit juice — avoid
  • St John's wort — can cause transplant rejection
  • statins — muscle damage risk, reduce statin dose
  • NSAIDs and other kidney-harming drugs
  • potassium-sparing diuretics — avoid (high potassium)

Pregnancy: no clear birth-defect risk; prematurity and low birth weight increased

Reference information, not medical advice — always follow your doctor or pharmacist. Source: DailyMed, dailymed.nlm.nih.gov, Neoral (cyclosporine) label, setid 94461af3-11f1-4670-95d4-2965b9538ae3 (accessed 2026-08-16)

Approved brands & formulations5

Brand nameDosage formStrengthImporterCategory
CyclosporinCapsule10mgPOM
CyclosporinCapsule25 mgPOM
CyclosporinParenteral ( Injection )50mg/ml 5mlPOM
CyclosporineOphthalmic preparations ( Drops )0.0005POM
Cyclosporin UspOral Liquid100mg in 1mlPOM
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