Font Size
A
A
A

Cyclosporine for Rheumatoid Arthritis


Examples

Generic NameBrand Name
cyclosporineGengraf, Neoral, Sandimmune

Cyclosporine is given orally (by mouth).

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

Because cyclosporine decreases the activity of your body's natural immune system, fever and chills are considered serious side effects that should be reported to your health professional immediately.

Side effects of cyclosporine include:

Rare side effects include:

While you are taking cyclosporine, your blood pressure and kidney function should be checked regularly.

Talk to your doctor or pharmacist about drinking grapefruit juice while you are taking cyclosporine. Grapefruit juice can increase the level of this medicine in your blood. Having too much medicine in your blood increases your chances of having serious side effects.

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

What To Think About

In general, cyclosporine is more toxic than other DMARDs, such as methotrexate, and should be used only under the supervision of a specialist in rheumatoid disease (rheumatologist) who is completely familiar with its side effects.

Cyclosporine is most often used to prevent the body from rejecting a newly transplanted organ.

Talk to your health professional before taking cyclosporine if you are breast-feeding, pregnant, or thinking about becoming pregnant.

Complete the new medication information form (PDF)Click here to view a form.(What is a PDF document?) to help you understand this medication.

References

Citations

  1. Kwoh CK, et al. (2002). Guidelines for the management of rheumatoid arthritis. Arthritis and Rheumatism, 46(2): 328–346.

Credits

ByHealthwise Staff
Primary Medical ReviewerAnne C. Poinier, MD - Internal Medicine
Specialist Medical ReviewerStanford M. Shoor, MD - Rheumatology
Last RevisedJune 11, 2010

eMedicineHealth Medical Reference from Healthwise

This information does not replace the advice of a doctor. Healthwise disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. How this information was developed to help you make better health decisions.

To learn more visit Healthwise.org

© 1995-2012 Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.





Medical Dictionary