Product image of Sandimmun Neoral- 100mg (Ciclosporin) 100 MG Capsule supplied by GNH India

Sandimmun Neoral- 100mg

Active Ingredient:
Ciclosporin
Form:
Capsule

Sandimmun Neoral- 100mg (Ciclosporin Capsule) 100 MG

Ciclosporin, the active ingredient in Sandimmun Neoral- 100mg, is a calcineurin inhibitor presented as a 100 mg capsule for oral use. It is used to prevent organ transplant rejection and to treat certain autoimmune conditions such as psoriasis and rheumatoid arthritis.

GNH India supplies Sandimmun Neoral- 100mg as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres and pharmacies worldwide.

Strength

100 MG

1
Pack/s
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Indications & Clinical Uses

Sandimmun Neoral (ciclosporin) is an immunosuppressant that modulates T‑cell activity in several clinical settings.

  • Prevention of organ transplant rejection: reduces risk of acute and chronic rejection by suppressing immune response.
  • Psoriasis: improves skin lesions by decreasing inflammatory T‑cell activity.
  • Rheumatoid arthritis: alleviates joint inflammation and disease progression when other therapies are insufficient.

How It Works

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

Side Effects

Ciclosporin may cause a range of adverse reactions, varying from mild to severe.

Common Side Effects

  • Headache: mild to moderate intensity.
  • Tremor: usually transient.
  • Hypertension: elevated blood pressure.
  • Nausea: occasional gastrointestinal upset.

Serious or Rare Side Effects

  • Nephrotoxicity: impaired kidney function.
  • Infections: opportunistic bacterial, viral, or fungal infections.
  • Hepatotoxicity: liver enzyme elevations.
  • Malignancy: increased risk of lymphomas or skin cancers.

Precautions & Warnings

Ciclosporin requires careful monitoring and specific precautions to minimize risks.

  • Renal function: assess baseline creatinine and monitor regularly.
  • Blood pressure: control hypertension before initiating therapy.
  • Lipid levels: check cholesterol and triglycerides periodically.
  • Drug interactions: review concomitant medications for CYP3A4 inhibitors or inducers.
  • Pregnancy: category C; weigh potential benefits against risks and consult obstetric specialist.
  • Store at ambient temperature: keep capsules below 25°C in the original container, protect from moisture and light.

Avoid Interactions

Ciclosporin interacts with several medicines that can alter its concentration or increase toxicity.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin): may cause dangerous blood level spikes.
  • Nephrotoxic agents (e.g., aminoglycosides, NSAIDs): increase risk of kidney injury.
  • Live vaccines: heightened risk of infection due to immunosuppression.

Moderate Interactions (Monitor Closely)

  • CYP3A4 inducers (e.g., rifampin, phenytoin): may reduce efficacy.
  • Calcium channel blockers (e.g., diltiazem): can raise ciclosporin levels modestly.
  • Antifungal azoles (e.g., fluconazole): may require dose adjustment.

Frequently Asked Questions

Sandimmun Neoral- 100mg contains ciclosporin, an immunosuppressant used primarily to prevent rejection of transplanted organs and to manage autoimmune disorders such as psoriasis and rheumatoid arthritis when other treatments are insufficient.

Ciclosporin binds to the intracellular protein cyclophilin, and the resulting complex inhibits the enzyme calcineurin. This blocks activation of nuclear factor of activated T‑cells (NF‑AT), reducing interleukin‑2 production and suppressing T‑cell–mediated immune responses.

The dose of ciclosporin is individualized. A qualified prescriber determines the appropriate amount and schedule based on the patient’s condition, weight, kidney function, and other clinical factors. No fixed regimen should be assumed without professional guidance.

Ciclosporin is classified as Pregnancy Category C, indicating that risk cannot be ruled out. It should be used only if the potential benefit justifies the potential fetal risk. Limited data are available for breastfeeding, so a risk‑benefit assessment with a healthcare provider is essential.

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

The main alternative is tacrolimus, another calcineurin inhibitor. Both suppress T‑cell activation, but tacrolimus often has a different side‑effect profile, such as a higher incidence of neurotoxicity, while ciclosporin is more commonly associated with nephrotoxicity and hypertension. Choice depends on clinical response, tolerability and physician preference.

Store the capsules at ambient temperature, preferably below 25 °C, in the original container. Protect them from moisture, direct sunlight and extreme heat. Keep the product out of reach of children and do not use after the expiry date.

The medication is taken orally. Swallow each capsule whole with a glass of water, preferably on an empty stomach unless directed otherwise by a healthcare professional. Do not crush, split or chew the capsule.

Serious risks include nephrotoxicity (decline in kidney function), severe infections due to immunosuppression, hepatotoxicity (liver enzyme elevations), and an increased risk of certain malignancies such as lymphomas and skin cancers. Patients should be monitored regularly for these complications.

Ciclosporin is contraindicated in patients with known hypersensitivity to ciclosporin or any of its excipients, uncontrolled hypertension, severe renal impairment, and active uncontrolled infections. Caution is also advised for individuals with a history of malignancy or severe liver disease.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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