Sandimmun Neoral 25mg uses are 

• Prevention of organ rejection (Kidney, liver, and heart)
• Treatment of Rheumatoid arthritis and Psoriasis

By suppressing the immune system, Sandummun Neoral 25mg Capsule helps prevent organ rejection in transplant recipients. After organ transplantation, the immune system recognizes the transplanted organ as foreign and launches an immune response to attack and reject it. Sandummun Neoral 25mg Capsule inhibits the activation of T-cells, a type of white blood cell involved in immune responses. This suppression of T-cell activity helps to prevent the immune system from attacking and damaging the transplanted organ, thereby increasing the chances of successful organ transplantation. 

Inform your healthcare provider about all the medicines you take, including prescription medications, over-the-counter medications, nutritional and vitamin supplements, and herbal products. Certain medications interact with Sandummun Neoral 25mg Capsule and reduce its effectiveness by causing undesirable side effects.

• Store this medication below 30°C
• Protect the medicine from light and excessive moisture.
• Keep the medicine out of reach of children and pets
• Take only a partial dose to make up for a forgotten dose.

It is an orally available prescription drug. Your doctor will decide the dose and duration of Sandummun Neoral 25mg Capsule based on the disease condition and other factors such as body weight and age. Always take this medicine as prescribed by your doctor. Take the tablet at the same time, either with or without food. Do try to break, chew, or crush the tablet. Swallow the whole tablet with a glass of water.

Side effects are unwanted symptoms caused by medicines. Even though all drugs cause side effects, not everyone gets them. Sandimmun Neoral 25mg side effects are

Serious

• Kidney damage
• Liver damage
• Infection, fever or sore throat
• Lack of coordination
• Memory problems
• Difficulty in speaking
• Visual problems
• Seizures
• Confusion
• Personality changes
• Sleeplessness
• Agitation

Common 

• Hypertension
• Electrolyte imbalance
• Increased level of potassium in the blood
• Tremor
• Abnormal hair growth
• Enlargement of gum tissues
• Low levels of magnesium
• Risk of infections
• Headache
• Gastrointestinal disturbances

• Monitor for infections, kidney and liver function, blood pressure, and neurological symptoms while using Sandummun Neoral 25mg Capsule.

• Do not stop the medication abruptly, as it can increase the risk of organ transplant rejection or worsen autoimmune conditions.

• Pregnant and breastfeeding women should consult a doctor before taking this medicine.

• Regular skin examinations are recommended, with vigilance for signs of malignancies.

• Be alert to allergic reactions and address them promptly.

• Stay aware of possible drug interactions and gastrointestinal side effects.

• Regular blood tests are needed to monitor blood cell counts and electrolyte levels.

• Monitor blood sugar levels carefully, especially in individuals at risk of diabetes.

• Pediatric and geriatric patients require extra caution and special consideration.

• Watch for psychological effects and discuss any changes with your healthcare professional.

• Maintain close consultation with doctors to ensure safe and effective use of this medicine.

1. Novartis, US Food and Drug Administration, [Revised on Sep 2009] [Accessed on 25th May,  2021], https://www.accessdata.fda.gov/drugsatfda_docs/label/2009/050715s027,050716s028lbl.pdf
2. Novartis Pharmaceuticals UK Limited, Electronic Medicines Compendium (EMC), [Revised on March 2023] [Accessed on 25th May 2023],  https://www.medicines.org.uk/emc/files/pil.1034.pdf
3. KD Tripathi, Immunosuppressant Drugs, Essentials of Medical Pharmacology, 8th Edition, 2019,.937-945.