Sirolimus - Drug Information

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General Information on Sirolimus

Generic Name : Sirolimus

Pronunciation : sir-OH-li-mus

Latest prescription information about Sirolimus. Learn how to pronounce the drug's name, its indications, dosage, how to take, when to take, when not to take, side effects, special precautions, its storage instructions and warnings if any when taken during pregnancy. Also listed are the International and Indian trade name(s) of the drug and its price list.
ICD Code : Y43.4 | Therapeutic Classification : Immunosuppressants

Trade Names/Brand Names of Sirolimus

India : 

International : 

Rapamune, Siromus, Rapacan

Why is Sirolimus Prescribed? (Indications)

This medication is an immunosuppressant, prescribed for preventing rejection of kidney transplants either alone or with other medications. It works by suppressing the body's immune system.

When should Sirolimus not to be taken? (Contraindications)

Hypersensitivity.

Pregnancy Category

A B C D X

Category C :

Animal studies have shown adverse effects on the fetus and there are no appropriate studies in pregnant women, but potential benefits may allow the use of the drug in pregnant women despite the potential for risks.

What is the dosage of Sirolimus?

Adult: PO- Low-moderate risk patients: 6 mg on day 1. Maintenance: 2 mg once daily, given 4 hour after ciclosporin.
High immunological risk patients: Recommended loading dose: 15 mg. Maintenance: 5 mg/day.

How should Sirolimus be taken?

It comes as a tablet to take by mouth, on an empty stomach or with food.

What are the warnings and precautions for Sirolimus?

Caution should be exercised in patients with history of liver, kidney problems, high cholesterol, low blood platelet levels, diabetes, lung or breathing problems, any allergy, infections, who are taking other medications especially for HIV or Hepatitis C , during pregnancy and breastfeeding.
Avoid contact with people who have infections.
Patient may develop with increased risk of progressive multifocal leukoencephalopathy (PML), severe kidney problems, certain types of cancer; if it is so consult with your doctor.
Avoid live vaccination while taking this medication.
It may affect blood sugar level; monitor sugar level regularly while taking this medication.

What are the side effects of Sirolimus?

   Most Common : Swelling in the extremities, high blood pressure, increased cholesterol level, constipation, abdominal pain, diarrhea, headache, fever, urinary tract infection, anemia, nausea, joint pain, and decrease in platelet counts.
   Body as a Whole : Sepsis and infections.
   Heart : Blood clot events and fast heart rate.
   Gastrointestinal : Mouth ulcer.
  Metabolic: Abnormal healing, increased level of lactic dehydrogenase (LDH) and decrease in blood potassium level.
   Musculoskeletal : Death of bone cells.
   Respiratory : Nose bleed and lung infection.
   Skin : Skin cancer and rash.
   Genitourinary : Kidney inflammation.

What are the other precautions for Sirolimus?

Avoid excess dosage.

What are the storage conditions of Sirolimus?

Store it at room temperature (25C), and in an airtight container.

♦ Safety Labeling Changes Approved By FDA

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JAIN KISHORE 

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