Rapamycin

Sirolimus

Developed to target the immune response and indicated to support transplant success, this agent is utilized to alleviate the risk of organ rejection.

Active ingredient
Sirolimus
Supply
Rx
Route
Oral use
Form
Tablet
Strengths
1mg

Rapamycin details

Alternative names
Rapamune
Therapeutic class
Immunosuppressant
Pharmacological class
mTOR inhibitor
Contraindications
hypersensitivity to sirolimus; pregnancy; breastfeeding
Minor side effects
nausea; diarrhoea; acne
Moderate side effects
hyperlipidaemia; thrombocytopenia; peripheral oedema
Dosage forms
Tablet
Administration route
Oral use
Supply category
Prescription only (specially controlled medicine)
Manufacturer
Pfizer
Onset Time
3–5 days
Duration
long-term
Storage instructions
Store in refrigerator (2°C–8°C), protected from light.
Drug interactions
cyclosporin; grapefruit; rifampicin
Age restrictions
Consult specialist for paediatric usage.
Precautions and warnings

regular blood level monitoring required; avoid live vaccines; use effective contraception

Serious side effects

pneumonitis, requires immediate medical attention; lymphoma, requires immediate medical attention; renal impairment, requires immediate medical attention

Patient summary

Developed to target the immune response and indicated to support transplant success, this agent is utilized to alleviate the risk of organ rejection.

Mechanism of action

Sirolimus acts as an mTOR inhibitor that prevents the activation of T-cells and B-cells in response to cytokine stimulation. By blocking this cell cycle progression, it effectively prevents the immunological mechanisms that cause organ rejection.

Pregnancy and breastfeeding

Pregnancy: Must not be used in pregnancy. Breastfeeding: Must not be used while breastfeeding.

Where this medicine is registered

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

About Rapamycin

Rapamycin contains Sirolimus, an active ingredient used to assist in the management of transplant rejection. The same active ingredient is also sold as Rapamune, supplied as a tablet in 1mg strength. Produced by Pfizer, this treatment helps support patients requiring consistent immune management following transplant procedures.

Rapamycin availability in Asia

This medication is registered across 14 markets including Singapore, Hong Kong and Thailand, with availability also in Malaysia, the Philippines and Indonesia. Generic Sirolimus is often more affordable than the original brand, offering an accessible treatment option for expats and patients located in areas that may have limited specialized pharmacy stock. This medicine is intended for use under a doctor’s care, supporting consistent long-term health management.