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Cyclosporine for Rheumatoid Arthritis


Table of Contents


Cyclosporine for Rheumatoid Arthritis

Examples

Generic NameBrand Name
cyclosporineGengraf, Neoral, Sandimmune

Cyclosporine is given orally (by mouth) or as a shot (injection).

How It Works

Cyclosporine is an immunosuppressive medicine, which means that it decreases the action of your body's immune system. By interrupting the immune process, cyclosporine reduces inflammation and slows damage to your joints. Cyclosporine is a disease-modifying antirheumatic drug (DMARD), which means that it slows the progression of rheumatoid arthritis. DMARDs are also called slow-acting antirheumatic drugs (SAARDs).

Why It Is Used

Cyclosporine is sometimes used for severe rheumatoid arthritis that has not responded to most other DMARD treatment.

How Well It Works

Cyclosporine can be effective for severe rheumatoid arthritis for short periods of time. Its use is limited because of its toxicity and because it may interact with other medicines you are taking.1

Side Effects

All medicines have side effects. But many people don't feel the side effects, or they are able to deal with them. Ask your pharmacist about the side effects of each medicine you take. Side effects are also listed in the information that comes with your medicine.

Here are some important things to think about:

Call 911 or other emergency services right away if you have:

Call your doctor if you have:

Cyclosporine may also cause side effects that your doctor will test for, including:

Common side effects of this medicine include:

See Drug Reference for a full list of side effects. (Drug Reference is not available in all systems.)

What To Think About

When you are taking cyclosporine (and even after you are finished taking it), make sure you talk to your doctor before you get any vaccinations. Some vaccines can actually cause the disease they are trying to prevent in people who are taking cyclosporine.

Do not eat grapefruit or drink grapefruit juice when you are taking this medicine.

Taking medicine

Medicine is one of the many tools your doctor has to treat a health problem. Taking medicine as your doctor suggests will improve your health and may prevent future problems. If you don't take your medicines properly, you may be putting your health (and perhaps your life) at risk.

There are many reasons why people have trouble taking their medicine. But in most cases, there is something you can do. For suggestions on how to work around common problems, see the topic Taking Medicines as Prescribed.

Advice for women

Women who use this medicine during pregnancy have a slightly higher chance of having a baby with birth defects. If you are pregnant or planning to get pregnant, you and your doctor must weigh the risks of using this medicine against the risks of not treating your condition.

Checkups

Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.

Complete the new medication information form (PDF) to help you understand this medication.

References

Citations

  1. Drugs for rheumatoid arthritis (2009). Treatment Guidelines From The Medical Letter, 7(81): 37–46.

Credits for Cyclosporine for Rheumatoid Arthritis

By Healthwise Staff
Primary Medical Reviewer Anne C. Poinier, MD - Internal Medicine
Specialist Medical Reviewer Nancy Ann Shadick, MD, MPH - Internal Medicine, Rheumatology
Last Revised June 5, 2012

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