Sandimmune (άλλο όνομα Neoral)

Common use

Neoral is used to prevent organ rejection after a kidney, liver, or heart transplant. Neoral lowers your body's immune system. The immune system helps your body fight infections. The immune system can also fight or "reject" a transplanted organ such as a liver or kidney. This is because the immune system treats the new organ as an invader.

Dosage and direction

Take this medication exactly as prescribed by your doctor. Do not take it in larger amounts or for longer than recommended. You may take Neoral with or without food, but take it the same way each time. Neoral should be given in two separate doses each day. Try to take the medication at the same dosing times each day.

Precautions

Avoid exposure to sunlight, sunlamps, or tanning beds. Neoral can make your skin more sensitive to sunlight, and a sunburn may result. Wear protective clothing and use sunscreen (SPF 15 or higher) when you are outdoors.
If you are being treated for psoriasis, you should not receive light therapy (PUVA or UVB) or radiation treatments while you are receiving Neoral. Make sure all doctors involved in your care know you are taking Neoral.

Contraindications

You should not use this medication if you are allergic to Neoral.
You may not be able to use Neoral if you have: kidney disease; untreated or uncontrolled high blood pressure; or any type of cancer.
If you have any of these other conditions, you may need a dose adjustment or special tests to safely take Neoral: psoriasis that has been treated with PUVA, UVB, radiation, methotrexate (Trexall), or coal tar; or if you are also taking an NSAID (non-steroidal anti-inflammatory drug) such as ibuprofen (Motrin, Advil), naproxen (Aleve, Naprosyn), diclofenac (Voltaren), etodolac (Lodine), indomethacin (Indocin), and others.
Before taking this medication, tell your doctor if you are pregnant or plan to become pregnant during treatment. Neoral can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

Possible side effect

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Call your doctor at once if you have any of these serious side effects: urinating less than usual or not at all; drowsiness, confusion, mood changes, increased thirst; swelling, weight gain, feeling short of breath; blurred vision, headache or pain behind your eyes, sometimes with vomiting; seizure (convulsions); muscle pain or weakness, fast heart rate, feeling light-headed; signs of infection such as fever, chills, sore throat, flu symptoms; pale skin, easy bruising or bleeding, unusual weakness; or nausea, stomach pain, loss of appetite, itching, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes).
Less serious side effects may include: tremors or shaking; increased hair growth; headache or body pain; diarrhea, constipation, vomiting; or numbness or tingly feeling.

Drug interaction

Many drugs can interact with Neoral. Tell your doctor about all other medications you are using, especially: etoposide (VePesid, Etopophos); lithium (Eskalith, Lithobid); methotrexate (Rheumatrex, Trexall); nefazodone; repaglinide (Prandin); St. John's wort; an ACE inhibitor such as benazepril (Lotensin), captopril (Capoten), enalapril (Vasotec), fosinopril (Monopril), lisinopril (Prinivil, Zestril), moexipril (Univasc), perindopril (Aceon), quinapril (Accupril), ramipril (Altace), or trandolapril (Mavik); a heart or blood pressure medication such as candesartan (Atacand), eprosartan (Teveten), irbesartan (Avapro, Avalide), losartan (Cozaar, Hyzaar), valsartan (Diovan), telmisartan (Micardis), or olmesartan (Benicar); medicines used to treat ulcerative colitis, such as mesalamine (Pentasa) or sulfasalazine (Azulfidine); other medicines used to prevent organ transplant rejection, such as sirolimus (Rapamune) or tacrolimus (Prograf); pain or arthritis medicines such as aspirin (Anacin, Excedrin), acetaminophen (Tylenol), diclofenac (Voltaren), etodolac (Lodine), ibuprofen (Advil, Motrin), indomethacin (Indocin), naproxen (Aleve, Naprosyn), and others; antibiotics such as amphotericin B (Fungizone, AmBisome, Amphotec, Abelcet), amikacin (Amikin), bacitracin (Baci-IM), capreomycin (Capastat), gentamicin (Garamycin), kanamycin (Kantrex), streptomycin, or vancomycin (Vancocin, Vancoled); antiviral medicines such as adefovir (Hepsera), cidofovir (Vistide), or foscarnet (Foscavir); or cancer medicine such as aldesleukin (Proleukin), carmustine (BiCNU, Gliadel), cisplatin (Platinol), ifosfamide (Ifex), oxaliplatin (Eloxatin), streptozocin (Zanosar), or tretinoin (Vesanoid).

Missed dose

Take the missed dose as soon as you remember. If it is almost time for your next dose, wait until then to take the medicine and skip the missed dose. Do not take extra medicine to make up the missed dose.

Overdose

Seek emergency medical attention if you think you have used too much of this medicine. Overdose can cause nausea, vomiting, pain in your upper stomach, loss of appetite, jaundice (yellowing of the skin or eyes), and urinating less than usual or not at all.

Storage

Store Neoral at room temperature away from moisture and heat, away from children and pets.