DrugInfoSys

Cyclosporin A

Also known as: Ciclosporin

Drug #206

Cyclosporin A is a cyclic peptide produced as a metabolite by the soil fungus Tolypocladium inflatum Gams. Cyclosporin A is immunosuppressive agent and effective to prevent rejection in oragn transplant patients.

Primary Characteristics

Cyclosporin A is also known as Ciclosporin.

It is of Natural origin and belongs to Polypeptide.

It belongs to Immune Modifiers pharmacological group on the basis of mechanism of action and also classified in Immunosuppressant Agent pharmacological group. It is also classified under Antidotes .

Molecular Weight: 1202 · pKa: unionized · Non-proprietary name: Cyclosporin A.

Molecular structure of Cyclosporin A

Pharmacokinetics

Absorption: Cyclosporin A has an oral bioavailability is 40%, pre-systemic (first-pass) metabolism accounts for 30%.

Distribution: Cyclosporin A has a volume of distribution is 3.5 l/kg. plasma protein binding is 90 - 95%.

Elimination: it is metabolised via extensively by liver, plasma half-life is 5-20hr, renal excretion is 0.1%.

Advertisement

Indications

Contraindications

Cyclosporin A is contraindicated in conditions like Renal impairment, Uncontrolled infection, Uncontrolled hypertension, Malignancy.

Dosage

Cyclosporin A's dosage details are as follows:

DoseSingle DoseFrequencyRouteInstructions
Adult Dosage
325 mg325 mgEvery 24hPOMaintenance
750 mg750 mgPOFor once, prior to Transplantation
750 mg750 mgEvery 24hPOPost operative for 1-2 Weeks
Paediatric Dosage (20kg)
5 mg/kg5 mg/kgEvery 12hOralPost operative for 1-2 Weeks
6.5 mg/kg6.5 mg/kgEvery 24hOralMaintenance ,as required
16 mg/kg16 mg/kgOral For Once prior to Transplantation
Neonatal Dosage (3kg)
No data.

Drug Interactions

Unknown58 interactions
34 interactions
Major6 interactions
Minor1 interaction
Moderate12 interactions

Always consult your physician for the change of dose regimen or an alternative drug of choice that may strictly be required.

Side Effects

Cyclosporin A in overdosage may give rise to further complications which include Hypertension .

Cyclosporin A produces potentially life-threatening effects which include Convulsions , Nephrotoxicity, Neoplasia. Careful monitoring is needed with proper medical management.

Cyclosporin A is known to cause more or less tolerable side effects which are usually transient. These include GI reactions, Gingival hypertrophy, Hepatotoxicity, Hyperesthesia, Hypertrichosis , Paresthesias, Tremor.

Warnings / Precautions

Cyclosporin A is not recommended for use during pregnancy or lactation. Immunosuppressant drug should not be given, where possible, to patients with acute infection, dosage reduction or withdrawal should be considered if infection develops, until the infection has been controlled. Blood counts and measurement of hemoglobin concentration should be carried out routinely; it helps to predict the onset of bone marrow depression. It must be handled with great care and avoid contact with skin and eyes and should not be inhaled. Cyclosporine can cause infection and possibly lymphoma, and is toxic to the kidneys. The use of this drug along with other drugs that are toxic to the kidneys must be closely monitored. It should be ingested and swallowed in its capsule without breaking the capsule. The liquid solution should only be mixed in a glass container. Pregnant or nursing women should not take this drug, and patients taking this drug will be more susceptible to infection. Therefore, crowds of people should be avoided, and no live vaccines should be adminstered to the patient without consulting the patient's doctor. Patients should inform their doctor of any hypersensitivities or drug allergies they have before taking this drug. (Cyclosporine in both liquid and capsule form has some castor oil components in it, which could cause an allergic reaction for some.) Some allergic reactions to the I. V. solution may be severe. This drug has not been specifically studied for use with the elderly.

Available Brands

Click on a strength to view available brands.

Multi-Ingredient Combinations

Caps

Storage Conditions

Cyclosporin A should be stored Caps. Soln.

Drug Classification

  1. 1.8.1Immunomodulators

Manufacturers