Sandimmune

Brand name:

Sandimmune

Pronounced: SAN-dim-ewn
Generic name: Cyclosporine
Other brand name: Neoral

Why is Sandimmune prescribed?

Sandimmune is given after organ transplant surgery to help prevent rejection of organs (kidney, heart, or liver) by holding down the body's immune system. It is also used to avoid long-term rejection in people previously treated with other immunosuppressant drugs, such as Imuran.

Neoral is a newer formulation of Sandimmune's active ingredient, cyclosporine. In addition to prevention of organ rejection, it is prescribed for certain severe cases of rheumatoid arthritis and psoriasis.

Some doctors also prescribe Sandimmune to treat alopecia areata (localized areas of hair loss), aplastic anemia (shortage of red and white blood cells and platelets), Crohn's disease (chronic inflammation of the digestive tract), and nephropathy (kidney disease). Sandimmune is sometimes used in the treatment of severe skin disorders, including psoriasis and dermatomyositis (inflammation of the skin and muscles causing weakness and rash). The drug is also used in procedures involving bone marrow, the pancreas, and the lungs.

Sandimmune is always given with prednisone or a similar steroid. It is available in capsules and liquid, or as an injection.

Most important fact about Sandimmune

If you take Sandimmune orally over a period of time, your doctor will monitor your blood levels of cyclosporine to make sure your body is receiving the correct amount of Sandimmune. The reason for this repeated testing is that the absorption of this drug in the body is erratic. Constant monitoring is necessary to prevent toxicity due to overdosing or to prevent possible organ rejection due to underdosing. It is important to note that Sandimmune may need to be taken by mouth for an indefinite period following surgery.

How should you take Sandimmune?

Take the Sandimmune capsule or oral liquid at the same time every day. You may take the medication either with a meal or between meals, but be consistent.

To make Sandimmune oral liquid more palatable, you may mix it with room-temperature milk, chocolate milk, or orange juice. Try to use the same beverage as often as possible. Neoral oral solution may be mixed with room-temperature orange or apple juice. It does not taste good in milk. Use a container made of glass, not plastic. Never let the mixture stand; drink it as soon as you prepare it. To make sure you get your full dose, rinse the glass with a little more liquid and drink that too.

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