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Neoral / Gengraf / Cyclosporine - Arthritis Prescription Medication
Why is cheap Neoral / Gengraf / Cyclosporine prescribed?
Neoral / Gengraf / Cyclosporine and cyclosporine (modified) are an Online Pharmacy Medicine used with other medications to prevent transplant rejection (attack of the transplanted organ by the immune system of the person who received the organ) in people who have received kidney, liver, and heart transplants. Neoral / Gengraf / Cyclosporine (modified) is also used alone or with methotrexate (Rheumatrex) to treat the symptoms of rheumatoid arthritis (arthritis caused by swelling of the lining of the joints) in patients whose symptoms were not relieved by methotrexate alone. Neoral / Gengraf / Cyclosporine (modified) is also used to treat psoriasis (a skin disease in which red, scaly patches form on some areas of the body) in certain patients who have not been helped by other treatments. Neoral / Gengraf / Cyclosporine (modified) are in a class of medications called immunosuppressants. They work by decreasing the activity of the immune system.
How should cheap Neoral / Gengraf / Cyclosporine be used?
Neoral / Gengraf / Cyclosporine (modified) both come as a capsule and a solution (liquid) to take by mouth. Neoral / Gengraf / Cyclosporine is usually taken once a day. Neoral / Gengraf / Cyclosporine (modified) is usually taken twice a day. It is important to take both types of Neoral / Gengraf / Cyclosporine on a regular schedule. Take Neoral / Gengraf / Cyclosporine (modified) at the same time(s) each day, and allow the same amount of time between doses and meals every day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take cyclosporine or Neoral / Gengraf / Cyclosporine (modified) exactly as directed. Do not take more or less of the medication or take it more often than prescribed by your doctor.
Your doctor will probably adjust your dose of Neoral / Gengraf / Cyclosporine (modified) during your treatment. If you are taking either type of cyclosporine to prevent transplant rejection, your doctor will probably start you on a high dose of the medication and gradually decrease your dose. If you are taking Neoral / Gengraf / Cyclosporine (modified) to treat rheumatoid arthritis or psoriasis, your doctor will probably start you on a low dose of the medication and gradually increase your dose. Your doctor may also decrease your dose if you experience side effects of the medication. Tell your doctor how you are feeling during your treatment.
Neoral / Gengraf / Cyclosporine (modified) helps control the symptoms of psoriasis and rheumatoid arthritis, but does not cure these conditions. If you are taking cyclosporine (modified) to treat psoriasis, it may take 2 weeks or longer for your symptoms to begin to improve, and 12-16 weeks for you to feel the full benefit of the medication. If you are taking Neoral / Gengraf / Cyclosporine (modified) to treat rheumatoid arthritis, it may take 4-8 weeks for your symptoms to improve. Continue to take Neoral / Gengraf / Cyclosporine (modified) even if you feel well. Do not stop taking Neoral / Gengraf / Cyclosporine (modified) without talking to your doctor. Your doctor may decrease your dose gradually.
You may notice an unusual smell when you open a blister card of Neoral / Gengraf / Cyclosporine capsules. This is normal and does not mean that the medication is damaged or unsafe to use.
Neoral / Gengraf / Cyclosporine (modified) oral solution may gel or become lumpy if it is exposed to temperatures below 68° F. You can use the solution even if it has gelled, or you can turn the solution back to a liquid by allowing it to warm to room temperature (77° F).
Neoral / Gengraf / Cyclosporine (modified) oral solution must be mixed with a liquid before use. Neoral / Gengraf / Cyclosporine (modified) oral solution may be mixed with orange juice or apple juice but should not be mixed with milk. Neoral / Gengraf / Cyclosporine oral solution may be mixed with milk, chocolate milk, or orange juice. You should choose one drink from the appropriate list and always mix your medication with that drink.
To take either type of oral solution, follow these steps:
- Fill a glass (not plastic) cup with the drink you have chosen.
- Remove the protective cover from the top of the dosing syringe that came with your medication.
- Place the tip of the syringe into the bottle of solution and pull back on the plunger to fill the syringe with the amount of solution your doctor has prescribed.
- Hold the syringe over the liquid in your glass and press down on the plunger to place the medication in the glass.
- Stir the mixture well.
- Drink all of the liquid in the glass right away.
- Pour a little more of the drink you have chosen into the glass, swirl the glass around to rinse, and drink the liquid.
- Dry the outside of the syringe with a clean towel and replace the protective cover. Do not wash the syringe with water. If you do need to wash the syringe, be sure that it is completely dry before you use it to measure another dose.
Other uses for cheap Neoral / Gengraf / Cyclosporine:
Neoral / Gengraf / Cyclosporine (modified) are also sometimes used to treat Crohn's disease (a condition in which the body attacks the lining of the digestive tract, causing pain, diarrhea, weight loss, and fever) and to prevent rejection in patients who have received pancreas or cornea transplants. Talk to your doctor about the possible risks of using this medication for your condition.
Neoral / Gengraf / Cyclosporine may be prescribed for other uses. Ask your doctor or pharmacist for more information.
What special precautions should I follow while using cheap Neoral / Gengraf / Cyclosporine?
Before taking Neoral / Gengraf / Cyclosporine,
- tell your doctor and pharmacist if you are allergic to Neoral / Gengraf / Cyclosporine (modified), any other medications, or any of the inactive ingredients in Neoral / Gengraf / Cyclosporine (modified) capsules or solution. Ask your pharmacist for a list of the inactive ingredients.
- tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, and nutritional supplements you are taking, or plan to take. Be sure to mention the medications listed in the IMPORTANT WARNING section and any of the following: acyclovir (Zovirax); allopurinol (Zyloprim); amiodarone (Cordarone); angiotensin-converting enzyme (ACE) inhibitors such as benazepril (Lotensin), captopril (Capoten), enalapril (Vasotec), fosinopril (Monopril), lisinopril (Prinivil, Zestril), moexipril (Univasc), perindopril (Aceon), quinapril (Accupril), ramipril (Altace), and trandolapril (Mavik); angiotensin II receptor antagonists such as candesartan (Atacand), eprosartan (Teveten), irbesartan (Avapro), losartan (Cozaar), olmesartan (Benicar), telmisartan (Micardis), and valsartan (Diovan); certain antifungal medications such as fluconazole (Diflucan), and itraconazole (Sporanox); azithromycin (Zithromax); bromocriptine (Parlodel); calcium channel blockers such as diltiazem (Cardizem), nicardipine (Cardene), and verapamil (Calan); carbamazepine (Tegretol); cholesterol-lowering medications (statins) such as atorvastatin (Lipitor), fluvastatin (Lescol), lovastatin (Mevacor), pravastatin (Pravachol), and simvastatin (Zocor); clarithromycin (Biaxin); dalfopristin and quinupristin combination (Synercid); danazol; digoxin (Lanoxin); certain diuretics ('water pills') including amiloride (Midamor), spironolactone (Aldactone), and triamterene (Dyazide); erythromycin; HIV protease inhibitors such as indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir, in Kaletra), and saquinavir (Fortovase); imatinib (Gleevec); metoclopramide (Reglan); methylprednisolone (Medrol); nafcillin; octreotide (Sandostatin); oral contraceptives (birth control pills); orlistat (Xenical); phenobarbital; phenytoin (Dilantin); potassium supplements; prednisolone (Pediapred); rifabutin (Mycobutin); rifampin (Rifadin, Rimactane); sulfinpyrazone (Anturane); terbinafine (Lamisil); and ticlopidine (Ticlid). Your doctor may need to change the doses of your medications or monitor you more carefully for side effects.
- if you are taking sirolimus (Rapamune), take it 4 hours after you take cyclosporine or cyclosporine (modified).
- tell your doctor what herbal products you are taking, especially St. John's wort.
- tell your doctor if you have or have ever had any of the conditions mentioned in the IMPORTANT WARNING section or any of the following: low cholesterol, low levels of magnesium in your blood, any condition that makes it difficult for your body to absorb nutrients, or liver disease.
- tell your doctor if you are pregnant or plan to become pregnant. If you become pregnant while taking either type of cyclosporine, call your doctor. Both types of Neoral / Gengraf / Cyclosporine may increase the risk that your baby will be born too early.
- tell your doctor if you are breast-feeding or planning to breast-feed.
- do not have vaccinations without talking to your doctor.
- you should know that Neoral / Gengraf / Cyclosporine may cause growth of extra tissue in your gums. Be sure to brush your teeth carefully and see a dentist regularly during your treatment to decrease the risk that you will develop this side effect.
What special dietary instructions should I follow while using cheap Neoral / Gengraf / Cyclosporine?
Avoid drinking grapefruit juice or eating grapefruit while taking Neoral / Gengraf / Cyclosporine .
Your doctor may tell you to limit the amount of potassium in your diet. Follow these instructions carefully. Talk to your doctor about the amount of potassium-rich foods such as bananas, prunes, raisins, and orange juice you may have in your diet. Many salt substitutes contain potassium, so talk to your doctor about using them during your treatment.
What should I do if I forget a dose of cheap Neoral / Gengraf / Cyclosporine?
If you forget to take a dose, take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one.
What side effects can cheap Neoral / Gengraf / Cyclosporine cause?
Neoral / Gengraf / Cyclosporine may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:
- headache
- diarrhea
- heartburn
- gas
- increased hair growth on the face, arms, or back
- growth of extra tissue on the gums
- acne
- flushing
- uncontrollable shaking of a part of your body
- burning or tingling in the hands, arms, feet, or legs
- muscle or joint pain
- cramps
- pain or pressure in the face
- ear problems
- breast enlargement in men
- depression
- difficulty falling asleep or staying asleep
Some side effects can be serious. If you experience any of the following symptoms, or those listed in the IMPORTANT WARNING section, call your doctor immediately:
- unusual bleeding or bruising
- pale skin
- yellowing of the skin or eyes
- seizures
- loss of consciousness
- changes in behavior or mood
- difficulty controlling body movements
- changes in vision
- confusion
- rash
- purple blotches on the skin
- swelling of the hands, arms, feet, ankles, or lower legs
Neoral / Gengraf / Cyclosporine (modified) may cause other side effects. Talk to your doctor if you experience unusual problems while taking either medication.
What storage conditions are needed for cheap Neoral / Gengraf / Cyclosporine?
Keep Neoral / Gengraf / Cyclosporine in the container it came in, tightly closed and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Do not store this medicine in the refrigerator and do not freeze it. Throw away any medication that is outdated or no longer needed. Throw away any remaining solution 2 months after you first open the bottle. Talk to your pharmacist about the proper disposal of your medication.
Symptoms of overdose of Neoral / Gengraf / Cyclosporine may include:
yellowing of the skin or eyes
swelling of the arms, hands, feet, ankles, or lower legs.
What other information should I know about cheap Neoral / Gengraf / Cyclosporine?
Do not let anyone else take your medicine. Ask your pharmacist any questions you have about refilling your prescription.
It is important for you to keep a written list of all of the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies.
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