How to take Ciclosporin-Teva: Always take this medicine exactly as prescribed by the doctor. Check with the doctor if not sure.
Do not take more than the recommended dose.
The dose of this medicine will be carefully adjusted to individual needs by the doctor. Too much of the medicine can affect the kidneys. The patient will have regular blood tests and visits to the hospital, especially after a transplant. This will give the patient a chance to talk to the doctor about the treatment and talk about any problems he/she may be having.
How much Ciclosporin-Teva to take: The doctor will work out the correct dose of Ciclosporin-Teva for the patient. This depends on the body weight and what the medicine is used for. The doctor will also tell how often to take the medicine.
In adults: Organ, bone marrow and stem cell transplantation: The total dose each day is usually between 2 mg and 15 mg per kilogram body weight. This is divided in two doses.
Usually, higher doses are used before and just after the transplant. Lower doses are used once the transplanted organ or bone marrow has stabilised.
The doctor will adjust the dose to one that is ideal for the patient. To do this, the doctor may need to do some blood tests.
Endogenous uveitis: The total dose each day is usually between 5 mg and 7 mg per kilogram body weight. This is divided in two doses.
Nephrotic syndrome: The total dose each day for adults is usually 5 mg per kilogram body weight. This is divided in two doses. In patients with kidney problems, the first dose taken each day should not be more than 2.5 mg per kilogram body weight.
Severe rheumatoid arthritis: The total dose each day is usually between 3 mg per kilogram of the body weight and 5 mg per kilogram body weight. This is divided in two doses.
Psoriasis and atopic dermatitis: The total dose each day is usually between 2.5 mg per kilogram of the body weight and 5 mg per kilogram body weight. This is divided in two doses.
In children: Nephrotic syndrome: The total dose each day for children is usually 6 mg per kilogram body weight. This is divided in two doses. In patients with kidney problems, the first dose taken each day should not be more than 2.5 mg per kilogram body weight.
Follow the doctor's instructions exactly and patient should never change the dose, even if he/she feels well.
Switch from another oral ciclosporin to Ciclosporin-Teva: The patient may have already been taking another oral ciclosporin soft gelatin capsules or oral solution. The doctor may decide to change to this medicine, Ciclosporin-Teva soft gelatin capsules or Ciclosporin-Teva oral solution.
These medicines all contain ciclosporin as the active ingredient.
If the doctor changes from another oral ciclosporin to Ciclosporin-Teva: Do not go back to taking the previous medicine unless instructed by the doctor.
Following the transfer, the doctor will monitor the patient more closely for a short time. This is because of the change in how ciclosporin is absorbed into the blood. The doctor will make sure that the patient gets the right dose for individual needs.
The patient may have some side effects. If this happens, tell the doctor or pharmacist. The dose may need to be lowered. Patient should never lower the dose, unless instructed by the doctor.
If the doctor switches from one oral formulation of ciclosporin to another: After the patient changes from one oral formulation of ciclosporin to another: The doctor will monitor the patient more closely for a short time.
The patient may have some side effects. If this happens, tell the doctor or pharmacist. The dose may need to be changed. Patient should never change the dose, unless instructed by the doctor.
When to take Ciclosporin-Teva: Take Ciclosporin-Teva at the same time every day. This is very important if the patient has had a transplant.
How to take Ciclosporin-Teva: Soft-gelatin capsule: The daily doses should always be taken in 2 divided doses.
Remove the capsules from the blister. Swallow the capsules whole with water.
Oral solution: The daily doses should always be taken in 2 divided doses.
For initial use, follow steps 1 to 6.
For subsequent use, follow steps 3 to 6.
Starting a new bottle of Ciclosporin-Teva oral solution: 1. Open the bottle with screw cap.
2. At the first opening of the bottle, press the insert with the tube into the bottle neck in which it will stay for the entire period of the product use.
3. Insert the pipette into an aperture of the insert with the tube and suck prescribed amount of the product using a piston. In case there are any big air bubbles, remove them by repeated sucking and extruding the liquid and then suck prescribed amount of the liquid again.
4. Extrude the measured amount for the liquid into a bottle and dilute it according to the instructions in the leaflet before drinking.
5. After measuring the product amount immediately close the bottle with a screw closure.
6. After using the pipette wipe its end with a dry napkin and put it back into its case. Never wash the pipette with water.
How long to take Ciclosporin-Teva: The doctor will tell how long the patient needs to take Ciclosporin-Teva for. This depends on whether the patient is taking it after a transplant or for the treatment of a severe skin condition, rheumatoid arthritis, uveitis or nephrotic syndrome. For severe rash, the treatment usually lasts for 8 weeks.
Keep taking Ciclosporin-Teva for as long as prescribed by the doctor.
If the patient has questions about how long to take Ciclosporin-Teva, talk to the doctor or pharmacist.
If the patient forgets to take Ciclosporin-Teva: If the patient forgets to take a dose, take it as soon as remembered. However, if it is almost time for the next dose, skip the missed dose. Then go on as before.
Do not take a double dose to make up for a forgotten dose.
If the patient stops taking Ciclosporin-Teva: Do not stop taking Ciclosporin-Teva unless instructed by the doctor.
Keep taking Ciclosporin-Teva even if the patient feels well. Stopping the treatment with Ciclosporin-Teva may increase the risk of the transplanted organ being rejected.
If the patient has any further questions on the use of this medicine, ask the doctor or pharmacist.