Product image of Neoral (Ciclosporin) supplied by GNH India

Neoral

Active Ingredient:
Ciclosporin
Origin:
EU

Neoral (Ciclosporin)

ciclosporin, the active ingredient in Neoral, is a calcineurin inhibitor presented as a oral solution for oral use. It treats organ transplant rejection, severe psoriasis and rheumatoid arthritis in appropriate patients.

GNH India supplies Neoral as a licensed, GDP-compliant international pharmaceutical supplier serving hospitals, transplant centres, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Novartis Pharma S.A.S.

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Indications & Clinical Uses

  • Neoral, a calcineurin inhibitor, is employed in immune‑mediated conditions to prevent graft loss and control inflammatory disease.
  • Organ transplant rejection: prevents graft rejection by suppressing T‑cell activation.
  • Severe psoriasis: reduces skin inflammation and plaque formation.
  • Rheumatoid arthritis: diminishes joint inflammation and disease activity.

How It Works

  • Ciclosporin binds to the intracellular protein cyclophilin, forming a complex that inhibits the phosphatase calcineurin. This blockade prevents dephosphorylation of nuclear factor of activated T‑cells (NF‑AT), reducing interleukin‑2 transcription and subsequent T‑cell activation, thereby dampening the immune response.

Side Effects

Neoral may cause a range of adverse reactions that vary in frequency and severity.

Common Side Effects

  • Headache
  • Tremor
  • Nausea
  • Hypertension
  • Gingival hyperplasia

Serious or Rare Side Effects

  • Nephrotoxicity (reduced kidney function)
  • Increased susceptibility to infections
  • Elevated liver enzymes
  • Risk of malignancies with long‑term use
  • Severe allergic reactions (anaphylaxis)

Precautions & Warnings

  • Before initiating therapy, clinicians should assess baseline organ function and monitor patients regularly.
  • Monitor renal function: regular serum creatinine and eGFR assessments.
  • Check blood pressure: manage hypertension promptly.
  • Assess liver enzymes: periodic ALT/AST testing.
  • Screen for infections: evaluate and treat active infections before starting.
  • Avoid concomitant nephrotoxic drugs: adjust dosing or discontinue when possible.
  • Store at ambient temperature: keep in the original container, protect from moisture and light.

Avoid Interactions

Ciclosporin interacts with several drug classes that can alter its plasma concentration or increase toxicity.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole): may cause toxic levels.
  • Nephrotoxic antibiotics (e.g., aminoglycosides): increase risk of kidney damage.
  • mTOR inhibitors (e.g., sirolimus): additive immunosuppression.

Moderate Interactions (Monitor Closely)

  • Calcium channel blockers (e.g., diltiazem): may raise ciclosporin levels.
  • Statins (e.g., simvastatin): risk of myopathy.
  • NSAIDs: potential renal impairment.

Frequently Asked Questions

Neoral contains ciclosporin, an immunosuppressant used to prevent organ transplant rejection, to treat severe psoriasis, and to manage rheumatoid arthritis. It works by dampening the immune response, helping to protect transplanted organs and reduce inflammatory skin and joint disease.

Ciclosporin binds to cyclophilin inside immune cells, forming a complex that inhibits calcineurin. This inhibition blocks the activation of nuclear factor of activated T‑cells, reducing interleukin‑2 production and T‑cell proliferation, which lowers the overall immune activity.

The dosage of Neoral is individualized. A qualified prescriber determines the appropriate amount based on the patient’s condition, weight, organ function and other medications. Specific dosing regimens are not disclosed publicly and must be obtained from a healthcare professional.

Ciclosporin’s pregnancy category is not clearly defined, and it may cross the placenta. Use during pregnancy or lactation should only occur when the potential benefit justifies the potential risk. Patients should discuss their situation with a physician before using Neoral while pregnant or nursing.

To order Neoral, 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 ciclosporin is tacrolimus, another calcineurin inhibitor. Both suppress T‑cell activation, but tacrolimus is often considered more potent with a different side‑effect profile, such as a higher incidence of neurotoxicity. Choice between them depends on clinical response, tolerance and physician preference.

Neoral oral solution should be stored at ambient temperature, preferably below 25 °C. Keep the container tightly closed, protect it from moisture and direct sunlight, and avoid freezing. If the solution appears discolored or contains particles, it should not be used.

Neoral is taken orally as a measured dose of the liquid solution. The dose should be measured with a calibrated syringe or dosing cup, taken consistently at the same times each day, and may be taken with or without food as directed by the prescriber.

Serious risks include nephrotoxicity (decline in kidney function), heightened susceptibility to infections, hypertension, liver enzyme elevations, and a potential increased risk of malignancies with long‑term use. Patients should be monitored regularly for these complications.

Neoral is contraindicated in individuals with known hypersensitivity to ciclosporin or any formulation components, those with uncontrolled infections, severe renal impairment, or uncontrolled hypertension. It should also be avoided in patients receiving certain interacting drugs without close medical supervision.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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