Neoral

Ciclosporin

This medication is intended to support the immune system and is indicated to alleviate risks associated with organ transplant rejection.

Active ingredient
Ciclosporin
Supply
Rx
Route
Oral use
Form
Capsule, soft
Strengths
25 · 100mg

Neoral details

Alternative names
Capimune
Therapeutic class
Immunosuppressant
Pharmacological class
Calcineurin inhibitor
Minor side effects
tremor; fatigue; nausea
Moderate side effects
hypertension; hirsutism; renal impairment
Dosage forms
Capsule, soft
Administration route
Oral use
Supply category
Prescription only (specially controlled medicine)
Manufacturer
Novartis
Onset Time
1–2 weeks
Duration
Continuous
Storage instructions
Store at room temperature below 25°C.
Drug interactions
grapefruit; st. john's wort; tacrolimus; ketoconazole
Age restrictions
Dose adjustment required for children.
Pregnancy and breastfeeding
Pregnancy: Use only if strictly necessary. Breastfeeding: Not recommended.
Contraindications

hypersensitivity to cyclosporine; uncontrolled hypertension; malignancy; impaired renal function

Precautions and warnings

requires regular monitoring of blood levels; avoid excessive sun exposure; do not substitute with generic cyclosporine without advice

Serious side effects

nephrotoxicity, requires immediate medical attention; skin malignancy, requires immediate medical attention

Patient summary

This medication is intended to support the immune system and is indicated to alleviate risks associated with organ transplant rejection.

Mechanism of action

Cyclosporine is a potent immunosuppressive agent that selectively inhibits the production and release of interleukin-2 by T-lymphocytes. This blocks the activation of T-cells, preventing the body from rejecting transplanted organs and suppressing autoimmune activity.

Where this medicine is registered

  • Singapore
  • Hong Kong
  • Thailand
  • Malaysia
  • Philippines
  • Indonesia
  • Taiwan
  • South Korea
  • Japan
  • Australia
  • New Zealand
  • UAE
  • South Africa

About Neoral

Neoral is the established brand of Ciclosporin, used primarily in the management of Transplant Rejection, Rheumatoid Arthritis and Psoriasis. The same active ingredient is also sold as Capimune. Manufactured by Novartis, this medication is produced as a tablet in 25mg and 100mg strengths.

Neoral availability in Asia

Neoral is registered across 14 markets throughout the region, including the UAE, Singapore and Hong Kong, with availability also in Thailand, Malaysia and the Philippines. Generic Ciclosporin, much of it sourced from manufacturing hubs in India, offers a more affordable alternative for patients requiring long term therapy far from their typical clinic. This specific medication is intended to be used strictly under a doctor’s care given the complexity of the underlying conditions.