Sandimmun Neoral 25mg Capsule
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Prescription Required
Overview
Sandimmun Neoral 25mg Capsule contains Ciclosporin 25mg (microemulsion formulation) and is available as a capsule. It is classified as a prescription medicine and may only be obtained with a valid prescription from a registered medical practitioner.
Only product, safety and handling information is published here. Anything beyond that is explained to you directly by your doctor or pharmacist as part of your consultation.
DoctorOnCall is a licensed online pharmacy. Orders for Sandimmun Neoral 25mg Capsule are processed only after a doctor has assessed your suitability and issued a prescription, and every order is checked by a registered pharmacist before it is sent out.
Directions for Use
Take Sandimmun Neoral 25mg Capsule at the same time(s) each day, and consistently either always with food or always without food, exactly as your doctor instructs, as switching can change how much medicine your body absorbs. Do not switch between different ciclosporin brands or formulations without your specialist’s explicit direction, as they are not automatically interchangeable. Attend every scheduled blood test appointment so your doctor can monitor your ciclosporin level, kidney function and blood pressure.
Dosage
The dose of Sandimmun Neoral 25mg Capsule is highly individualised by your transplant or specialist physician, based on your body weight, the organ transplanted or condition being treated, and regular measurement of your ciclosporin blood (trough) levels. There is no standard fixed dose – your doctor will adjust your dose based on blood test results, kidney function, and clinical response, so never change your dose without specialist guidance.
Shelf Life
Use this product before the expiry date stated on the packaging. Do not use the medicine if the expiry date has passed.
Storage Instructions
Store below 30°C in a dry place, away from direct sunlight and out of reach of children.
Side Effects
- High blood pressure
- Increased hair growth
- Kidney problems
- Headache
- Nausea
- Swollen gums
- Tremors
- Fatigue
Contraindications
- Known hypersensitivity to ciclosporin or any ingredient in this product
- Uncontrolled high blood pressure
- Uncontrolled active infections
- Active malignancy (other than certain skin cancers being treated)
- Concomitant use with St John’s Wort (reduces ciclosporin levels significantly)
Drug / Food Interactions
- Grapefruit juice significantly increases ciclosporin blood levels and must be avoided
- Azole antifungals and certain macrolide antibiotics (e.g. ketoconazole, erythromycin) increase ciclosporin levels and toxicity risk
- Rifampicin and St John’s Wort reduce ciclosporin levels, risking transplant rejection or disease flare
- NSAIDs, aminoglycoside antibiotics, and potassium-sparing diuretics increase the risk of kidney impairment or high blood potassium when combined with ciclosporin
Quick Tips
- Never miss a scheduled blood test – ciclosporin blood levels must be monitored closely to keep the dose safe and effective
- Never switch ciclosporin brands or formulations without your specialist’s approval
- Avoid grapefruit and grapefruit juice completely while on this medicine
- Report any signs of infection, fever, or unusual bleeding to your care team immediately
- Avoid live vaccines while taking this medicine unless specifically approved by your specialist
- Attend regular blood pressure and kidney function checks as scheduled
Frequently Asked Questions
Is Sandimmun Neoral 25mg Capsule a prescription medicine?
Yes. Sandimmun Neoral 25mg Capsule is a prescription-only medicine (POM). It can only be supplied against a valid prescription written by a registered doctor, and it should be used only by the person named on the prescription label.
What does Sandimmun Neoral 25mg Capsule contain?
Sandimmun Neoral 25mg Capsule is supplied as a capsule and contains Ciclosporin 25mg (microemulsion formulation). The full composition is listed in the Composition section on this page and on the product packaging.
Why is there no information here about what Sandimmun Neoral 25mg Capsule is for?
Malaysian rules for prescription medicines limit public product pages to product, safety and handling information. Your doctor decides whether this medicine is appropriate for you and will explain it during your consultation, and your pharmacist can answer further questions when the medicine is dispensed.
How should I take Sandimmun Neoral 25mg Capsule?
Take it exactly as written on your prescription label. Do not increase, reduce or skip doses on your own, and do not continue beyond the period your doctor has prescribed. Practical handling steps are set out in the Directions for Use section on this page.
What should I do if I miss a dose?
Take it as soon as you remember, unless your next dose is nearly due. In that case skip the missed dose and carry on with your usual schedule. Never take two doses together to make up for a missed one. If you miss doses often, tell your doctor or pharmacist.
How should I store Sandimmun Neoral 25mg Capsule?
Store below 30°C in a dry place, away from direct sunlight and out of reach of children. Keep it in the original pack until use, and do not use it after the expiry date printed on the packaging.
What should I do if I notice side effects?
Tell your doctor or pharmacist about any reaction that concerns you, and seek medical care immediately for signs of a severe reaction such as difficulty breathing, swelling of the face, lips or throat, or a widespread rash. Reported reactions are listed in the Side Effects section on this page.
Can I stop taking Sandimmun Neoral 25mg Capsule on my own?
No. Speak to your doctor before stopping, pausing or changing the dose, even if you feel well or think you no longer need the medicine.
How do I get a prescription for Sandimmun Neoral 25mg Capsule?
Customers in Malaysia can complete an online consultation with a DoctorOnCall doctor, who decides whether a prescription is appropriate, or upload a valid prescription already issued by their own doctor.
Orders going to Singapore are dispatched from Malaysia as an international delivery, so you need to hold a valid prescription or doctor’s letter for the medicine. Check the consultation and prescription upload options shown at checkout for your delivery address before placing the order.
How long will delivery take?
Within Malaysia, standard delivery takes 3 to 5 working days. Same-day delivery is available in the Klang Valley for orders placed before 12pm; orders placed after 12pm arrive by the end of the next day.
Orders to Singapore are sent as international deliveries and take 5 to 9 working days. A lump-sum shipping and handling fee applies to every overseas delivery and is shown at checkout.
What payment methods can I use?
Customers in Malaysia can pay by FPX online banking, credit or debit card (Visa and Mastercard), and supported e-wallets including Touch ‘n Go eWallet, GrabPay and ShopeePay.
FPX and local e-wallets are tied to Malaysian bank and wallet accounts, so if your delivery address is in Singapore, use the payment options displayed at checkout for that address rather than assuming the same list applies.
Can Sandimmun Neoral 25mg Capsule be delivered to Singapore?
Yes. DoctorOnCall ships to Singapore as an international order dispatched from Malaysia, arriving in 5 to 9 working days with a lump-sum shipping and handling fee.
Singapore’s Health Sciences Authority (HSA) allows personal imports of up to three months’ supply of a medicine for your own use or an immediate family member’s, as long as it contains no controlled drugs, psychotropic substances or prohibited items. Keep the product in its original labelled packaging and keep a copy of your prescription or doctor’s letter with it. Quantities above three months’ supply, and medicines containing controlled substances, require prior HSA approval.
Is Sandimmun Neoral 25mg Capsule registered with the authorities?
Products listed on DoctorOnCall are registered with Malaysia’s Ministry of Health for supply in Malaysia, and each pack carries its MAL registration number.
An order delivered to Singapore arrives as a personal import of a Malaysia-registered product; HSA product registration is not required for personal-use quantities, but it is also not the same as a product registered for sale in Singapore. If you need a locally registered Singapore product, buy it from a pharmacy in Singapore.
Who do I contact if there is a problem with my order?
DoctorOnCall’s customer care team handles order, delivery and product queries through the contact channels on the site, including WhatsApp and the online help centre.
For deliveries to Singapore, allow more time before chasing an order than you would for a local Malaysian delivery, as the parcel passes through customs clearance and tracking updates can appear later in the journey.
Ingredients / Active Ingredients
- Ciclosporin 25mg (microemulsion formulation)
Safety Advice
Pregnancy
This medicine should only be used during pregnancy if prescribed by a doctor after careful evaluation.
Breastfeeding
Use with caution. Monitor infant for potential adverse reactions.
Kidney
Use cautiously. Dose adjustment or monitoring may be required.
Liver
Use cautiously. Liver function monitoring may be required.
Alcohol
It is not advisable to consume alcohol while taking this medicine.
Driving
Use caution while driving until you know how this medicine affects you.
