CKDCIPOL-N 25mg Suheung Prevented Elimination In Tibet (10 blisters x 5 tablets)

Dosage form Box of 10 blisters x 5 tablets
Specifications Cyclosporin
Ingredient Suheung Co

Ingredient

Composition informationContent
Cyclosporin25mg

Uses

indications

CKDCIPOL-N 25mg drug is indicated in the following cases:

indicated in organ transplants

Special organ transplantation:

  • Preventing the removal of pieces after transplanting the same species such as kidneys, liver, heart, lungs, heart-pulp or pancreatic mixture.
  • Prevent the disposal of transplantation after bone marrow transplant.

    endogenous dug dug:

  • Treatment of intermediate dug or behind threatening non -infectious vision in patients whose conventional treatment has failed or caused unacceptable side effects.
  • Nephrotic syndrome depends on steroids and steroid resistance in adults and children due to glomerular diseases such as the minimum injury of kidney disease, fibroids in the localized pierced glomerular or glomerular inflammation. It can also be used to maintain the remission due to the treatment of steroid bandages. Allows steroids.
  • Treatment of serious and low -toughness, active.
  • Psoriasis:

  • Treatment of severe psoriasis in patients, the normal treatment is no longer appropriate or ineffective.
  • Atopic dermatitis:

  • Use CKDCIPOL-N in patients with serious atopic dermatitis when the body treatment is needed.

    Special is used in organs and tissues to prevent the type of transplant after transplantation of bone marrow, kidney, liver, pancreatic, heart and heart - lung, and to prevent disease due to the recipient ("anti -object disease").The effect of cyclosporin is due to specific inhibition and restoration of immune lymphocytes in phase G0 and G1 of lymphocytes.

    Priority T lymphocytes are inhibited. T cells - support are the main goals, although T -inhibited cells can also be damaged.

    Cyclosporin also inhibits the production and release of lymphokin including Interleukin -2.

    There is no effect on phagocytic function (changes in enzyme secretion, moving dynamic leukocytes, moving macrophages, clearing Vivo carbon in the model of animal. Cyclosporin does not inhibit bone marrow in the animal and human model.

    Dynamic pharmacokinetics

    Cyclosporin taken in the form of conventional cells, absorbed slowly and not completely with bio -canbisions 20-50%. Biology of micro emulsion form.

    Peak concentration in plasma reaches 1.3-4 hours after drinking. Meals are high in fat significantly slowing cyclosporin absorption in conventional cell format, but does not slow down the absorption in the form of micro emulsion.

    Cyclosporin has a relatively large distribution of apparent distribution (13 liters/kg). In the whole blood. 50 - 60% of cyclosporin accumulated in red blood cells; 10 - 20% of the total amount of drugs in the circulation combined with leukocyte; The rest combined with plasma protein.

    Half life eliminates about 6 hours.

    Cyclosporin is specialized in the liver, for more than 30 specialized products.

    cyclosporin and metabolites are excreted mainly through the bile into the feces; About 6% are excreted in urine.

  • Before taking CKDCIPOL-N 25mg Suheung Prevented Elimination In Tibet (10 blisters x 5 tablets)

    How to use

    CKDCIPOL-N 25mg soft capsules for oral. Should be used with food, it is necessary to swallow the follicles. Avoid using grapefruit juice.

    Dosage

    Determine the dosage of cyclosporin for each individual; It is important to monitor cyclosporin concentration in blood or plasma to determine the dose.

    Use cyclosporin taken in a stable time of the day and the association with meals.

    Collection of organ transplants

    Dosage in case of solid organ transplantation:

  • Treatment with CKDCIPOL-N should start within 12 hours before surgery at a dose of 10-15 mg/kg body weight, divided into 2 times. For other immune inhibitors (for example, with corticosteroids or a part of 3-4 drugs), the lower dose may be used (for example, 3-6 mg/kg, divided into 2 times in the beginning therapy). Intravenous transmission must be stopped as soon as the patient can tolerate oral medication, and recommend that patients switch to oral use as soon as possible.
  • Take 12.5 - 15 mg/kg per day) from the date of transplantation until 2 weeks after surgery, then take 12.5 mg/kg daily for 3-6 months, then gradually reduce the dose (can be used until a year after grafting).

    Dosage in case of endogenous uveitis:

  • To help make cutting, all the patient for 5 mg/kg daily, divided into 2 times, used until the improvement of inflammation, the dug and the vision improvement. Systemic corticosteroids with daily dose of 0.2-0.6 mg/kg Prednisone or equivalent, if CKDCIPOL-N alone has not fully controlled the disease.
  • To improve the disease, the recommended daily dose is 5 mg/kg (for adults) and 6 mg/kg (with you), divided into 2 drinks, when normal kidney function, unless there is protein-nigimal. Drinking, if CKDCIPOL-n alone is not effective enough, especially for steroid resistance patients. and 6 mg/kg/day (in children).
  • In the first 6 weeks of treatment, the recommended daily dose is 3 mg/kg, taken 2 times a day. The dosage should be titrated according to the patient's fish, based on tolerance. CKDCIPOL-N, divided into 2 drinks a day, with the choice of increasing dose when the tolerance is allowed.
  • Dosage in the case of psoriasis:

  • Due to the properties or changes of this disease, it is necessary to treat each individual. It is necessary to stop treating with patients without responding to psoriasis lesions for 6 weeks used at a dose of 5 mg/kg/day or for patients but the effective dose is not compatible with the prescribed instructions for safety. Manage the recurrence to the back of the tape begins CKDCIPOL-n with the previous dosage.
  • Due to the properties or changes of this disease, it is necessary to treat each individual. Fast and here enough of this disease will be easier to achieve, if the starting dose is 5 mg/kg. Should use the drug. It is possible to manage the subsequent recurrence of an eagle disease a continuing course of cyclosporin. Specific dosage depends on the condition and level of progression of the disease. For a suitable dose, you need to consult a doctor or medical specialist.

    What to do when overdose?

    Symptoms:

  • Ciclosporin overdose can cause main symptoms that are unwanted effects that are more common.
  • When an overdose of ciclosporin oral oral, the stomach cleans by vomiting. Causing vomiting can be useful until 2 hours after drinking. Ciclosporin, stopped the drug for a few days, or started treatment with ciclosporin on a day until the patient was stable.

    What to do when you forget 1 dose? However, if the time to relax with the next dose is too short, skip the dose and continue the calendar of the drug. Do not use double dose to compensate for missed dose.

  • Side Effects

    When using CKDCIPOL-N 25mg, you may experience unwanted effects (ADR).

    Ciclosporin's most common and important ADR is toxic kidney toxicity.

    Common, ADR> 1/100

  • Cardiovascular: Hypertension

    rarely, 1/1 000

  • cardiovascular: lower blood pressure, tachycardia, warm feeling, flushing. Sinus.
  • Warnings

    Before using the drug you need to read the instructions carefully and refer to the information below.

    Contraindicated

    CKDCIPOL-N 25mg Contraindications in the following cases:

  • Hypersensitivity to cyclosporin or any ingredients of the drug form.

    Be cautious when using

    need to be very careful when taking the drug for patients in the following cases:

    Only use ciclosporin under the supervision of physicians with experience in immunodeficiency.

    The treatment at the beginning or when there is a major change in ciclosporin therapy, it must be done in a hospital equipped with adequate testing and resuscitation.

    Although ciclosporin is used in combination with corticosteroids, ciclosporin should not be used simultaneously with other immunodeficiency drugs because of the increased risk of lymphatic infection and the risk of lymphoma.

    Due to the risk of anaphylaxis, only ciclosporin intravenous infusion for patients without tolerance of oral drugs. Must monitor the kidneys that manifest allergies in people with ciclosporin intravenous infusion.

    When ciclosporin intravenous infusion, respiratory help, other resuscitation measures and drugs for anti -sense.

    When necessary (for example, when the ability to absorb oral medication changes), adjust the dose to avoid poisoning due to high concentration of drugs in the blood or plasma, or prevent the discharging of a pieces that may occur due to low drug concentration.

    Monitoring of ciclosporin concentrations in blood or plasma is especially important in people with liver transplants, because the absorption of drugs in these people can be erratic.

    The ability to drive and operate machinery

    People who often drive or operate machinery should use CKDCIPOL-N 25mg?

    There is no research data on the effects of drugs on driving and operating machinery.

    Women during pregnancy and lactation

    Women during pregnancy should use CKDCIPOL-N 25mg?

    ciclosporin through the placenta.

    There is no full research and good verification of ciclosporin for pregnant women.

    Only use ciclosporin during pregnancy when the expected benefits are more likely to occur with the fetus.

    Should breastfeeding women take ckdcipol-n 25mg?

    ciclosporin is distributed in milk.

    Because it can have a serious disadvantage for breastfeeding, avoiding breastfeeding when the mother is using ciclosporin.

    Drug interaction

    drug interactions may affect the activity of the drug or cause side effects. Should notify the doctor or pharmacist a list of drugs and functional foods you are using. Do not use or increase or decrease the dose of the drug without the guidance of a doctor.

    Ciclosporin concentration in biological fluid may change due to drugs or food (for example, grapefruit juice) on cytochrom P450 3A (CYP 3A) in the liver.

    Medicines that reduce ciclosporin levels include carbamazepin, phenobarbital, phenytoin, rifampin, isoniazid.

    Increasing ciclosporin levels include azithromycin, clarithromycin, diltiazem, erythromycin, fluconazole, otraconazole, ketoconazole, nicardipine, verapamil.

    The drug increases the toxic effect of Ciclosporin's kidneys, aminoglycosides, amphotericin B, acyclovir. Simultaneous use of ciclosporin and lovastatin can lead to unwanted effects including muscle inflammation, muscle pain, muscle destruction, acute kidney failure. Simultaneous use with nifedipine increases the risk of increased productivity. Concomitance with other immunosuppressive drugs increases the risk of lymphoma and infection.

  • Storage

    Leave a cool place, avoid light, temperature below 30⁰C.

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