Safely Buy Neoral ( Cyclosporine ) from Canada Prescriptions Plus.

Indications

Neoral is a brand name for cyclosporine, a potent immunosuppressant drug that is used to treat various medical conditions such as rheumatoid arthritis, lupus, and psoriasis and to prevent organ rejection in people who have received a liver, kidney, or heart transplant.

Use and Dosage

Take this medication by mouth as directed by your doctor, usually twice daily. You may take this medication with or without food, but it is important to choose one way and take this medication the same way with every dose.

The dosage is based on your weight, medical condition, lab tests, and response to treatment.

Avoid eating grapefruit or drinking grapefruit juice while using this medication unless your doctor or pharmacist says you may do so safely. Grapefruit can increase the chance of side effects with this medicine. Ask your doctor or pharmacist for more details.

Use this medication regularly to get the most benefit from it. To help you remember, take it at the same time each day.

It may take up to 4 months before you get the full benefit of this drug for the treatment of rheumatoid arthritis and psoriasis.

Tell your doctor if your condition does not get better (in 4 to 8 weeks for arthritis and in 2 to 4 weeks for psoriasis) or if it gets worse.

Side Effects

Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have:

• Change in your mental state, problems with speech or walking, or decreased vision (may start gradually and get worse quickly)
• Easy bruising, unusual bleeding (nose, mouth, vagina, or rectum), or purple or red pinpoint spots under your skin
• Pale or yellowed skin, dark-colored urine, fever, confusion, or weakness
• Dangerously high blood pressure–severe headache, blurred vision, pounding in your neck or ears, nosebleed, anxiety, confusion, severe chest pain, shortness of breath, or irregular heartbeats
• High potassium–nausea, slow or unusual heart rate, weakness, or loss of movement
• Kidney problems–little or no urinating, painful or difficult urination, swelling in your feet or ankles, or feeling tired or short of breath
• Liver problems–nausea, upper stomach pain, itching, tired feeling, loss of appetite, dark urine, clay-colored stools, or jaundice (yellowing of the skin or eyes)
• Signs of infection–fever, chills, flu-like symptoms, mouth sores, skin sores, feeling light-headed or short of breath, or rapid heart rate

Common side effects may include:

• Tremors or shaking
• Acne
• Increased growth of facial or body hair
• Increased blood pressure
• Nausea or diarrhea
• Swollen or painful gums

This is not a complete list of side effects and others may occur.

Cautions

Before taking cyclosporine, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of: kidney disease, liver disease, high blood pressure, cancer, skin lesions of unknown cause, radiation treatment (including light treatment with PUVA or UVB), mineral imbalance (such as low level of magnesium or high level of potassium), recent/current infections, high cholesterol/triglycerides levels.

This drug may make you dizzy. Alcohol or marijuana (cannabis) can make you dizzier. Do not drive, use machinery, or do anything that needs alertness until you can do it safely. Limit alcoholic beverages. Talk to your doctor if you are using marijuana (cannabis).

This medication may contain alcohol. Caution is advised if you are pregnant or breastfeeding or have liver disease, alcohol dependence, or any other condition that requires you to limit/avoid alcohol in your diet. Ask your doctor or pharmacist about using this product safely.

Cyclosporine can make you more likely to get infections or may make current infections worse.

Talk to your doctor if you have been exposed to an infection or for more details.

Tell your healthcare professional that you are using cyclosporine before having any immunizations/vaccinations. Avoid contact with people who have recently received live vaccines (such as a flu vaccine inhaled through the nose).

This medication may increase your risk of developing skin cancer. Limit your time in the sun. Avoid tanning booths and sunlamps. Use sunscreen and wear protective clothing when outdoors. Your doctor may direct you to avoid phototherapy while you use this product. Ask your doctor for details.

This product may increase your potassium levels. Before using potassium supplements or salt substitutes that contain potassium, consult your doctor or pharmacist.

Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

Older adults may be at greater risk for kidney problems or high blood pressure while using this drug.

During pregnancy, this medication should be used only when needed. It may harm an unborn baby or cause other problems with the baby such as being born too early (premature) or having low birth weight. Discuss the risks and benefits with your doctor.

This medication passes into breast milk. Because of the possible risk to the infant, breastfeeding while using this drug is not recommended. Consult your doctor before breastfeeding.

Form and Strengths

Neoral is available in the following form and strengths:

• Neoral Capsule:
  • 10 mg
  • 25 mg
  • 50 mg
  • 100 mg
• Cyclosporine Capsule:
  • 25 mg
  • 50 mg
  • 100 mg

FAQ

What happens if I miss a dose?

Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose.

Do not take extra medicine to make up for the missed dose.

What happens if I overdose?

Seek emergency medical attention.

What should I avoid while taking Neoral?

Grapefruit and grapefruit juice may interact with Neoral and lead to unwanted side effects. Avoid the use of grapefruit products while taking this medicine.

Avoid being near people who are sick or have infections. Tell your doctor at once if you develop signs of infection.

Do not receive a “live” vaccine while using Neoral.

Resources:

1. https://www.drugs.com/mtm/neoral.html#side-effects
2. https://pubmed.ncbi.nlm.nih.gov/21244766/
3. https://www.webmd.com/drugs/2/drug-12252-4108/neoral-oral/cyclosporine-microemulsion-capsule-oral/details