Cyclosporines (Neoral®, Gengraf®, Sandimmune®)


Neoral® is an immunosuppressive medicine that helps prevent organ rejection.


The dose we prescribe for you is based on your lab values. The capsules come in 25mg, 50 mg and 100mg sizes; the liquid in 100mg/cc strength.


In the morning, take with breakfast after your lab work is completed.

Repeat the dose in the pm, 12 hours after your am dose. If you are on Cyclosporin twice a day, your blood level must be measured 12 hours after your last dose.

Most children and some adults may be on a three times a day schedule, if so, each dose must be 8 hours apart and blood level must be drawn 8 hours after the last dose.


Cyclosporine blood levels may be altered by some medicines. Before you take any new drugs please contact the transplant team. New mothers taking cyclosporine are advised NOT to breast feed.

Common Side Effects

Headache, tremors, fluid retention, decreased kidney function, elevated potassium levels, high blood pressure, hot flushes, diarrhea, nausea/vomiting, hair growth, gum swelling, increased risk of infection, joint discomfort, leg cramping, low magnesium levels.