Product image of Ikervis (Ciclosporin) supplied by GNH India

Ikervis

Active Ingredient:
Ciclosporin
Origin:
EU

Ikervis (Ciclosporin)

Ciclosporin, the active ingredient in Ikervis, is a calcineurin inhibitor presented as a 0.1% w/v ophthalmic emulsion for ocular (topical) use. It treats dry eye disease and keratoconjunctivitis sicca in patients whose conventional tear substitutes are insufficient. The formulation is designed for once‑daily administration to improve ocular comfort.

GNH India supplies Ikervis as a licensed, GDP-compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides regulatory‑ready documentation for global distribution.

Manufacturer / TM Owner

Santen Oy

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Indications & Clinical Uses

Ikervis (ciclosporin ophthalmic emulsion) is used to manage ocular surface inflammatory conditions.

  • Dry eye disease: reduces ocular surface inflammation and improves tear film stability.
  • Keratoconjunctivitis sicca: alleviates symptoms by suppressing T‑cell mediated inflammation.
  • Ocular surface inflammation: provides immunomodulatory effect to restore ocular comfort.

How It Works

  • Ciclosporin binds to cyclophilin within ocular tissues, forming a complex that inhibits calcineurin phosphatase activity. This blockade prevents activation of nuclear factor of activated T‑cells (NFAT), thereby suppressing T‑cell activation and cytokine release. The resulting reduction in inflammatory mediators diminishes ocular surface inflammation and promotes tear film stability.

Side Effects

Ikervis may cause ocular and systemic reactions.

Common Side Effects

  • Burning or stinging sensation at the application site.
  • Eye irritation or itching.
  • Blurred vision shortly after instillation.
  • Redness of the conjunctiva.
  • Foreign body sensation.
  • Mild eye discharge.

Serious or Rare Side Effects

  • Ocular infection (bacterial, fungal, or viral).
  • Allergic reaction with swelling or severe redness.
  • Increased intra‑ocular pressure.
  • Corneal ulcer or epithelial defect.
  • Severe eye pain or vision loss.
  • Systemic immunosuppression leading to opportunistic infections.

Precautions & Warnings

Before using Ikervis, consider the following precautions:

  • Hypersensitivity: avoid if the patient has known allergy to ciclosporin or any excipients.
  • Ocular infection: assess and treat active infections prior to initiation.
  • Intra‑ocular pressure: monitor pressure regularly during treatment.
  • Contact lens wear: discontinue lenses while using the drops unless advised otherwise.
  • Pregnancy and lactation: evaluate risk‑benefit as safety data are limited.
  • Store at room temperature: keep in the original container, protect from light and moisture.

Avoid Interactions

Ikervis may interact with other ocular or systemic agents.

Major Interactions (Avoid)

  • Concomitant topical corticosteroids: may increase risk of ocular hypertension.
  • Systemic immunosuppressants: combined use can potentiate systemic immunosuppression.
  • Other calcineurin inhibitors: concurrent use may raise toxicity risk.

Moderate Interactions (Monitor Closely)

  • Non‑steroidal anti‑inflammatory eye drops: may affect drug absorption.
  • Antiviral ophthalmic preparations: potential reduction in antiviral efficacy.
  • Topical anesthetics: may increase local irritation when used together.

Frequently Asked Questions

Ikervis is a prescription ophthalmic emulsion containing ciclosporin that is indicated for the treatment of dry eye disease and keratoconjunctivitis sicca. It works by reducing ocular surface inflammation, helping to restore tear film stability and improve patient comfort.

Ciclosporin binds to the intracellular protein cyclophilin, forming a complex that inhibits the enzyme calcineurin. This inhibition blocks activation of T‑cells and the release of inflammatory cytokines, thereby decreasing inflammation on the ocular surface and supporting tear film function.

The dosing regimen for Ikervis is determined by the prescribing clinician. Typically, one drop is instilled in each affected eye once daily, but the exact frequency and duration are individualized based on the patient’s response and severity of disease.

Safety data for ciclosporin ophthalmic use in pregnancy and lactation are limited. The product is classified as having an unknown pregnancy category, so clinicians must weigh potential benefits against possible risks before prescribing to pregnant or nursing women.

To order Ikervis, submit an enquiry on the product page at gnhindia.com specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

The primary alternative to Ikervis is another topical ciclosporin formulation (e.g., Restasis) or the integrin antagonist lifitegrast (Xiidra). Ikervis uses a 0.1% concentration and an oil‑in‑water emulsion that may improve tolerability for some patients, while lifitegrast works via a different mechanism targeting lymphocyte function‑associated antigen‑1.

Ikervis should be stored at room temperature, below 25 °C, in its original container. Keep the bottle tightly closed, protect it from light and moisture, and avoid freezing. Do not use the product if the emulsion appears discoloured or if the seal is broken.

Instill one drop of Ikervis into each affected eye as directed by the prescriber, usually once daily. Wash hands before use, avoid touching the tip of the bottle to the eye or any surface, and close the cap securely after each application.

Serious risks include ocular infection, significant increase in intra‑ocular pressure, corneal ulceration, severe allergic reactions, and rare cases of vision loss. Patients should report any sudden pain, redness, discharge, or visual changes to their eye care professional promptly.

Ikervis is contraindicated in individuals with known hypersensitivity to ciclosporin or any formulation excipients, and in patients with active ocular infections. Caution is also advised for those with uncontrolled glaucoma or severe ocular surface disease until evaluated by a specialist.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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