Prograf

Tacrolimus

Designed to mitigate transplant rejection to support long-term organ health.

Active ingredient
Tacrolimus
Supply
Rx
Route
Oral use
Form
Capsule, hard
Strengths
0.5 · 1 · 5mg

Prograf details

Alternative names
Adoport
Therapeutic class
Immunosuppressant
Pharmacological class
Calcineurin Inhibitor
Contraindications
hypersensitivity to tacrolimus; hypersensitivity to macrolides
Minor side effects
tremor; headache
Moderate side effects
hypertension; renal impairment; abnormal liver function tests
Dosage forms
Capsule, hard
Administration route
Oral use
Patient summary
Designed to mitigate transplant rejection to support long-term organ health.
Supply category
Prescription only (specially controlled medicine)
Manufacturer
Astellas Pharma
Onset Time
1–2 hours
Duration
12 hours
Storage instructions
Store in the original blister package.
Drug interactions
grapefruit; ketoconazole; rifampicin
Age restrictions
Adjusted for weight in paediatric patients.
Precautions and warnings

regular blood monitoring required; avoid excessive sun exposure; monitor kidney function

Serious side effects

opportunistic infections, requires immediate medical attention; lymphoma, requires immediate medical attention

Mechanism of action

Suppresses the immune response by inhibiting calcineurin, thereby preventing the activation of T-cells that trigger organ rejection.

Pregnancy and breastfeeding

Pregnancy: Avoid unless deemed essential by a specialist. Breastfeeding: Not recommended.

Where this medicine is registered

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

About Prograf

Prograf is a well-known brand of tacrolimus, a medication used to prevent organ transplant rejection. The same active ingredient is also marketed as Adoport. This medicine is supplied as a tablet in strengths of 0.5mg, 1mg, and 5mg, formulated by Astellas Pharma to assist in maintaining immune system stability following transplant surgery.

Prograf availability in Asia

Prograf is registered across 14 markets, including South Korea, Japan and the UAE, with availability also in Singapore, Hong Kong and Thailand. While generic tacrolimus, often produced in India, provides a more affordable alternative to the original brand, sourcing reliable medication remains a priority for expats and residents across these regions. This medicine is best used under the regular supervision of a transplant specialist to ensure proper clinical management.