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Cyclosporine

Cyclosporine is a cyclic peptide immunosuppressant. Systemic modified capsules, nonmodified products, and eye preparations have different exposures and clinical roles.

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At a glance

Evidence stage
Approved use
Regulatory status
US-approved systemic cyclosporine products cover transplantation and selected inflammatory diseases. The cited modified capsule is not bioequivalent to Sandimmune.
Research context
Cyclosporine is a cyclic peptide immunosuppressant. Systemic modified capsules, nonmodified products, and eye preparations have different exposures and clinical roles.

What this is

  • Cyclosporine is a cyclic peptide immunosuppressant. Systemic modified capsules, nonmodified products, and eye preparations have different exposures and clinical roles.

What this isn't

  • A recommendation to use, prepare, combine, or administer a product
  • Evidence that a related molecule or a differently formulated product has the same effects

Key terms

Cyclosporine is a cyclic peptide immunosuppressant. Systemic modified capsules, nonmodified products, and eye preparations have different exposures and clinical roles.

Cyclosporine suppresses T-cell activation through the calcineurin pathway, reducing immune signaling that can attack a transplanted organ or contribute to certain inflammatory diseases. This is purposeful immunosuppression rather than general immune strengthening. The present review concerns systemic modified capsules; an eye preparation cannot be assumed to produce the same systemic exposure. Product label.

Evidence limits

How to read the evidence

Benefits and restrictions vary by indication: transplant recipients, patients with severe psoriasis, and patients with rheumatoid arthritis have different treatment contexts. The old transplant comparison does not establish that cyclosporine is the best contemporary option for every patient. Ocular studies and systemic trials must be kept separate despite the shared molecule. Product-specific scope.

Sources appraised 2026-10-28. Educational information; not medical advice. Study findings apply to the populations, preparations and outcomes described.

External sources and citations

  1. Cyclosporine — product label (DailyMed)
  2. Cyclosporine in renal transplantation — randomized clinical trial
  3. FDA application ANDA219049 — approval and marketing records

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