Imural
Imural Uses, Dosage, Side Effects, Mechanism of Action, How Long Does it Take to Work? Imural is a brand name. Its generic name is Cyclosporine.
Imural
Imural is a medically-used immunosuppressant drug, prescribed for the prevention of organ rejection in patients who have had a transplant. It is commonly used alongside basiliximab for the prevention of Organ transplant rejection in adults.
Uses For
Imural is used to reduce the chance of organ transplant rejection in people who have undergone a transplant operation. Additionally, it may be prescribed for conditions such as severe rheumatoid arthritis and psoriasis.
Mechanism of Action
Imural acts by inhibiting the transcription of inflammatory cytokines and suppressing the activity of T-cells. In turn, this suppresses the activity of the immune system and prevents it from attacking the transplanted organ.
How Long Does It Take To Work?
The effects of cyclosporine can be seen within hours after it is taken. Its effects on preventing organ rejection can typically take anywhere from days to months and an organ transplant can take up to two years.
Absorption
Imural is absorbed rapidly after oral administration, with peak levels occurring in approximately one hour. It has a bioavailability of up to 99.6%.
Route of Elimination
Imural is mainly eliminated through urinary excretion, with 20-60% eliminated unchanged in the urine. The remainder undergoes hepatic biotransformation and is eliminated in bile as metabolites.
Dosage
The dosage of cyclosporine varies depending on the disease being treated and the patient's weight. The dosage for the prevention of organ transplant rejection typically ranges from 1000 mg/day to 4000 mg/day. The dose should be adjusted based on the patient's response to the medication.
Administration
Imural is available in different forms, including tablets, capsules, ointment, and an oral solution. It is typically taken two to four times a day, with or without food.
Side Effects
Common side effects with cyclosporine include diarrhea, nausea, vomiting, headache, fatigue, dizziness, increased blood pressure, fluid retention, rash, and changes in hair color. Some side effects may be serious and should be reported to a doctor promptly.
Toxicity
High doses of cyclosporine can be toxic. Symptoms of toxicity can include a decrease in kidney function, as well as changes in liver function tests.
Precautions
Imural should be used with caution in patients with kidney or liver disease, as well as in patients who are pregnant or breastfeeding. It is important to monitor blood pressure, kidney and liver function regularly in people taking this medication.
Interaction
Imural can interact with a variety of medications, including antifungals, certain antibiotics, antidepressants, antacids, and other immunosuppressants, among others. In addition, consuming grapefruit and grapefruit juice can also interfere with this medication.
Disease Interaction
Imural can interact with certain medical conditions, such as kidney or liver disease, diabetes, uncontrolled high blood pressure, and congestive heart failure. In addition, people with certain mental health issues such as depression and anxiety may experience worsened symptoms while taking this medication.
Drug Interaction
Imural can interact with other medications, including antifungals, antibiotics, antidepressants, antacids, and immunosuppressants, among others. It is important to tell your doctor about all of the medications you are taking, as this may lead to dangerous side effects or reduce the effectiveness of the medication.
Food Interactions
It is important to tell your doctor or pharmacist about any food or drink you are consuming, as some may interact with cyclosporine. Eating grapefruit or drinking grapefruit juice can interfere with this medication and increase your risk of side effects.
Pregnancy Use
Imural should not be used during pregnancy as it can cause harm to a developing baby. Women should use effective contraception during treatment and for one month after treatment is stopped.
Lactation Use
Imural is contraindicated in nursing mothers because its active metabolites can be transferred through breastmilk and cause serious illness in infants.
Acute Overdose
An acute overdose of cyclosporine is potentially serious and can lead to serious side effects such as vomiting, nausea, increased blood pressure, renal failure, and liver toxicity. In cases of an overdose, seek medical attention as soon as possible.
Contraindication
Imural is contraindicated in people with known hypersensitivity to the medication, as well as in those with active infections or severe heart, liver or kidney disease, and in nursing mothers.
Use Directions
Imural should be taken exactly as directed by the doctor. The dosage should be adjusted based on the patient's response to the medication and blood tests should be performed regularly to monitor the levels of the medication.
Storage Conditions
Imural should be stored at room temperature away from heat and moisture. It should be kept away from pets and children and should not be exposed to light for long periods of time.
Volume of Distribution
Imural has a volume of distribution of approximately 0.45-0.69 L/kg.
Half Life
The half-life of cyclosporine is approximately 12-17 hours.
Clearance
Imural has a clearance of approximately 1.14-2.9 L/hr/kg.
Here you find in details version of Imural
Some Frequently Asked Questions About Imural
.What is Imural?
Imural is an immunosuppressant medication used to treat various autoimmune conditions, including rheumatoid arthritis, psoriasis, and psoriatic arthritis. It works by reducing inflammation and helping to prevent the body from rejecting transplanted organs.
How long does Imural take to start working?
Imural may take up to several weeks to start working and peak effectiveness. Improvement in symptoms is usually seen within four to six weeks of starting the medication.
Are there any side effects of Imural?
The most common side effects of Imural are hypertension, increased creatinine levels, kidney issues, headache, nausea, and diarrhea. Severe side effects may occur, such as anaphylaxis, rash, and infections. Less common side effects may include convulsions, tremor, and hirsutism.
Who should not use Imural?
Imural should not be used by anyone with active infections, a weakened immune system, a history of seizures, or those taking other medications that may interact with Imural.
Can I drink alcohol while taking Imural?
It is not recommended to drink alcohol while taking Imural, as it could increase the risk of side effects. You should talk to your doctor before drinking alcohol while taking Imural.
What is the usual dose for Imural?
The usual starting dose for Imural is 1 to 3 mg per kilogram of body weight per day, divided into two or three doses. Your doctor may adjust the dose depending on how you respond to the medication.
Can I take Imural if I am pregnant?
Imural should not be used during pregnancy, due to the risk of harm to the fetus. It is important to talk to your doctor about the risks and benefits of taking Imural while pregnant.
Should I take Imural with food or without food?
It is recommended to take Imural with food or a snack to reduce the risk of stomach upset. Drinking a glass of water with the dose may also help to reduce side effects.
How often should I have my blood tested while taking Imural?
Your doctor will usually recommend you have blood tests every 3 to 6 months while taking Imural, to monitor kidney function and other blood levels. It is important to attend all scheduled blood tests and follow your doctor's instructions.
What should I do if I forgot to take a dose of Imural?
If you forget to take a dose of Imural, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and continue with the regular schedule. Do not take a double dose to make up for the missed dose.
Can I take other medications while taking Imural?
Some medications can interact with Imural, so it is important to tell your doctor about all medications you are taking, including over-the-counter medications and supplements. Your doctor may need to adjust dosages or monitor you more closely for side effects.
What can I do to reduce the side effects of Imural?
To reduce the side effects of Imural, try to drink plenty of fluids, get regular exercise, and eat healthful foods. There are also steps you can take to help reduce the risk of kidney damage, such as avoiding other medications that can harm the kidneys.
Can I stop taking Imural?
It is important to talk to your doctor before stopping Imural, as it could cause your condition to worsen. The doctor may recommend slowly tapering off the medication to reduce the risk of side effects.
Does Imural cause weight gain?
In some cases, Imural may cause weight gain and an increase in appetite. This should be monitored closely with regular blood tests and your doctor may need to adjust your dose.
Is Imural safe for long-term use?
Imural is generally considered safe for long-term use, however it is important to have regular blood tests and monitor for any potential side effects. It is important to talk to your doctor regularly about the risks and benefits of taking Imural.
What should I do if I experience an allergic reaction to Imural?
If you experience an allergic reaction to Imural such as rash, difficulty breathing, or swelling, you should call your doctor or seek medical attention immediately.
Does Imural cause hair loss?
Imural may cause mild to moderate hair loss or thinning of the hair. If this occurs, talk to your doctor about switching medications or taking a hair supplement.
Can I get a tattoo while taking Imural?
It is not recommended to get a tattoo while taking Imural, as it puts you at a higher risk of skin infections. If you decide to get a tattoo, it is important to follow all aftercare instructions and monitor for any symptoms of infection.
Can Imural interact with other medications?
Yes, Imural may interact with other medications, including antibiotics, anti-seizure medications, and certain medications used to treat heart or blood pressure conditions. It is important to tell your doctor about all medications you are taking.
Can Imural be used to treat psoriasis?
Yes, Imural is commonly used to treat psoriasis. It works by reducing inflammation and can help to reduce skin lesions and plaques associated with psoriasis.
How long does it take for Imural to leave your system?
Imural is typically eliminated within four to five days of stopping the medication. However, it may take up to two weeks for your body to completely eliminate Imural.
What other conditions can Imural be used to treat?
Imural can be used to treat several autoimmune conditions, including rheumatoid arthritis, Crohn's disease, psoriasis, and psoriatic arthritis.
Does Imural have any age restrictions?
Imural is approved for use in adults and children over 2 years of age. Children under 2 years of age should not take Imural.
Can I consume grapefruit while taking Imural?
Yes, you can consume grapefruit while taking Imural, however be sure to inform your doctor first as grapefruit can interact with other medications.
Does Imural lower cholesterol?
Yes, Imural may lower cholesterol levels. Regular blood tests are recommended to monitor your cholesterol levels.
Should I wear sunscreen while taking Imural?
Yes, it is recommended to wear sunscreen while taking Imural, as it can make your skin more sensitive to the sun. Make sure to apply a sunscreen with an SPF of 30 or higher every two hours.
What should I do if I experience nausea while taking Imural?
Nausea is a common side effect of Imural. Eating smaller meals more often and avoiding fatty or spicy foods may help reduce nausea. Your doctor may also prescribe medications to help reduce symptoms.
Can I donate blood while taking Imural?
No, you should not donate blood while taking Imural. This is because Imural can cause serious side effects in recipients.
Can Imural cause vision problems?
Yes, in rare cases Imural can cause vision problems, such as blurred vision. If you experience any changes in vision, it is important to contact your doctor immediately.
Can I take a vitamin supplement while taking Imural?
Yes, however it is important to talk to your doctor before taking any supplement, as some can interact with Imural or cause other side effects.
What are the long-term side effects of Imural?
Long-term side effects of Imural may include an increased risk of infection, kidney damage, high cholesterol, and increased risk of tumors. It is important to have regular blood tests and talk to your doctor about any potential long-term side effects.
Should I limit my intake of caffeine while taking Imural?
It is not necessary to limit your intake of caffeine while taking Imural, however it is important to talk to your doctor before making any changes to your diet.
Can I take Imural if I have hypertension?
Yes, however it is important to talk to your doctor before starting Imural, as it can cause an increase in blood pressure. Your doctor may adjust the dose or monitor your blood pressure more closely.
Can Imural be used to treat ulcerative colitis?
Yes, Imural can be used to treat ulcerative colitis in combination with other medications. It works by suppressing the immune system to reduce inflammation in the colon.
What happens if I overdose on Imural?
If you think you have overdosed on Imural, seek immediate medical attention. Symptoms of an overdose include weak or shallow breathing, cold or clammy skin, and changes in vision.
How should I store Imural?
Imural should be stored at room temperature and away from direct light. It is important to keep the medication away from children and pets.
How much does Imural cost?
The cost of Imural varies depending on the dose and the pharmacy. It is typically covered by most insurance plans, however it is important to check with your insurer before starting the medication.
Is there an alternative to Imural?
Yes, there are several alternatives to Imural, including steroids, tumor necrosis factor blockers, and immunosuppressant drugs. Alternatives may depend on your condition and your doctor may recommend a specific medication.
Can I take Imural while breastfeeding?
No, Imural is not recommended for use while breastfeeding, as it can pass through breast milk and may harm the baby. Talk to your doctor about other medications that are safe to take while breastfeeding.
What should I do if I experience joint pain while taking Imural?
Joint pain is a common side effect of Imural. If you experience joint pain, try to rest the affected joint, use a cold compress, and take anti-inflammatory medications such as ibuprofen. If the pain persists, talk to your doctor.
Can I get a flu shot while taking Imural?
Yes, you can get a flu shot while taking Imural, however it is important to talk to your doctor first. Your doctor may also recommend getting the pneumonia vaccine while taking Imural.
Can I take ibuprofen while taking Imural?
Yes, you can take ibuprofen while taking Imural, however it is important to take the recommended dosage and not exceed the maximum daily limit. You should also talk to your doctor before taking other medications that may interact with Imural.