Description
A Summarized Overview
Sandimmun Neoral 25mg (manufactured by Novartis) is an immunosuppressant medicine. It works by lowering the activity of your body’s immune system. In Pakistan, doctors primarily prescribe it to prevent organ rejection in patients who have had kidney, liver, or heart transplants. It is also used to treat severe autoimmune conditions like rheumatoid arthritis, severe skin diseases (psoriasis and eczema), and kidney disorders (nephrotic syndrome).
Key Benefits & Uses
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Keeps the body’s immune system from attacking a newly transplanted organ (kidney, liver, or heart).
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Reduces severe skin inflammation and clearing plaques when standard treatments do not work.
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Decreases painful joint inflammation, swelling, and stiffness.
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Stabilizes kidney function and reduces excess protein leakage in urine.
Common Side Effects
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Mild to moderate rise in blood pressure.
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Slight shaking or shakiness in fingers or hands.
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Alterations in kidney function test results (creatinine levels).
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Nausea, mild stomach pain, or diarrhea.
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Mild swelling or tenderness of the gums (gingival hyperplasia).
Precautions
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This medicine requires a valid doctor’s prescription. Never start, stop, or change your dose without medical advice.
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Do not eat grapefruit or drink grapefruit juice while taking this medicine, as it can dangerously increase drug levels in your blood.
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You will need routine blood tests to check your blood pressure, kidney function, and drug levels.
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Because it lowers your immunity, stay away from sick individuals and report fevers or persistent sore throats to your doctor immediately.
Frequently Asked Questions (FAQs)
1. What is Sandimmun Neoral 25mg used for?
It prevents organ rejection after kidney, liver, or heart transplants and treats severe autoimmune conditions like rheumatoid arthritis, psoriasis, and nephrotic syndrome.
2. Is Sandimmun Neoral 25mg an Rx or OTC medicine in Pakistan?
It is strictly an Rx (Prescription-Only) medicine. A valid doctor’s prescription is required to order it on OnlineDawai.pk.
3. How much does Sandimmun Neoral 25mg cost in Pakistan?
A pack of 50 capsules costs approximately PKR 5,000 to PKR 5,100, as regulated by DRAP.
4. Why should I avoid grapefruit while taking this medicine?
Grapefruit stops your body from breaking down the medicine properly, raising drug levels in your blood and increasing toxicity risks.
5. Can I switch between Sandimmun Neoral and generic Ciclosporin?
No. Neoral has a unique absorption formula. Switching brands can alter drug levels in your body, so only change brands if explicitly advised by your doctor.


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