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Cyclomune

40.46
Cyclomune (cyclosporine) is an immunosuppressant eye drop used for the treatment of inflammatory eye conditions and chronic dry eye. It helps adults increase tear production by decreasing inflammation in the tear glands, supporting long-term ocular surface health and improving comfort.


Ingredient
Availability
In Stock
Delivery Time
Airmail (14-21 days) | EMS trackable (5-9 days)
Product is shipped in a fully discreet envelope with no content disclosure, including all required documentation inside

Product Sheet

Active Ingredient(s)
Cyclosporine
Reference Brand
Cyclosporin
Manufacturer
Sun Pharmaceutical
Product Form
Capsule, Oral Solution, Eye Drops
Regulatory Classification
Rx
Primary Category
Immune Suppression
Product Category
Immunosuppressant
Pharmacological Class
Calcineurin Inhibitors
Manufacturer Description
A powerful medication used to treat autoimmune conditions and prevent the body from rejecting organ transplants.
Mechanism of Action
It works by suppressing the immune system to stop the body from attacking healthy tissue or rejecting a transplanted organ.
Route of Administration
Oral
Onset Time
Several weeks for autoimmune conditions
Duration
12-24 hours
Contraindications
Uncontrolled high blood pressure, Active infection, Severe kidney disease
Severe Adverse Events
Kidney toxicity, Liver failure, Increased risk of infection, Vision changes
Common Side Effects
Tremor, Gum swelling, Tiredness
Uncommon Side Effects
High blood pressure, Changes in hair growth, Stomach upset
Drug Interactions
Grapefruit juice, St. John's wort, Statins, Some antibiotics
Pregnancy Safety Warnings
Use only if absolutely necessary; can cause premature birth or low birth weight.
Age Restrictions
Dosage is strictly based on weight; use with caution in elderly patients.
Storage Guidelines
Keep in the original container to protect from light and moisture.
Related Products
Sandimmun, Neoral

Cyclomune FAQ

Can I wear contact lenses while using Cyclomune?

Contact lenses should be removed before each dose of Cyclomune and can be re-inserted at least 15 minutes after instillation. This helps ensure optimal drug absorption and reduces the risk of lens contamination.

What is the difference between the 0.05 % and 0.1 % strengths?

The 0.05 % formulation is typically prescribed for mild to moderate ocular inflammation, while the 0.1 % concentration provides a higher anti-inflammatory effect for more severe cases. Your prescriber will select the strength based on the severity of your dry-eye disease.

How long will it take to notice improvement?

Patients often begin to experience reduced eye discomfort within a few weeks, but the full therapeutic benefit may take 8-12 weeks of consistent twice-daily use.

Is there any risk of systemic side effects from eye drops?

Systemic absorption of cyclosporine from ophthalmic drops is minimal, so systemic side effects are rare. However, patients using systemic cyclosporine should inform their prescriber to avoid cumulative exposure.

Can Cyclomune be used for allergic conjunctivitis?

Cyclomune is not approved for allergic conjunctivitis. Its primary indication is dry eye disease with an inflammatory component. For allergic reactions, other specific antihistamine or mast-cell stabilizer eye drops are recommended.

What should I do if I miss a dose for several days?

Resume the prescribed twice-daily regimen as soon as possible. Do not double-dose to make up for missed applications; simply continue with the regular schedule.

Will Cyclomune affect my vision permanently?

Cyclomune does not cause permanent changes to vision. Temporary blurring may occur immediately after instillation, but it resolves as the eye adapts. Persistent visual disturbances should be evaluated promptly.

Are there any special disposal instructions?

Empty bottles should be placed in a household waste container once the product is discarded. Do not flush the medication down the toilet. Follow local pharmacy guidelines for safe disposal of pharmaceutical waste when available.

Can I travel with Cyclomune in my hand luggage?

Yes, Cyclomune can be carried in hand luggage. Keep the bottle sealed, store it upright, and ensure it complies with airline liquid restrictions (usually up to 100 ml per container). Carry a copy of the prescription in case security requests verification.

What is Cyclomune?

Cyclomune is a prescription ophthalmic medication that contains cyclosporine as its active ingredient. It is supplied in a sterile bottle as an emulsion for topical eye use, with two available concentrations: 0.05 % and 0.1 %. In the United Kingdom, Cyclomune is regulated by the Medicines and Healthcare products Regulatory Agency (MHRA) and can only be obtained with a prescription from a qualified prescriber. The product is intended to treat inflammatory eye conditions that are related to autoimmune processes, most notably dry eye disease (keratoconjunctivitis sicca).

How Cyclomune Works in the Body

Cyclosporine belongs to the class of calcineurin inhibitors. When applied to the eye, it penetrates the ocular surface and binds to the intracellular protein cyclophilin. This complex then inhibits the enzyme calcineurin, which is essential for activating T-lymphocytes. By blocking calcineurin, cyclosporine reduces the release of inflammatory cytokines such as interleukin-2 and interferon-γ. The resulting decrease in ocular surface inflammation allows the lacrimal glands to resume normal tear production, improving the stability of the tear film and relieving the symptoms of dry eye.

Key pharmacologic points:

  • Onset of action: Improvement in tear production may be observed after several weeks of regular use.
  • Peak effect: Typically reached after 8-12 weeks of twice-daily dosing.
  • Duration: The anti-inflammatory effect persists while the medication is used; discontinuation may lead to recurrence of symptoms.

Conditions Treated by Cyclomune

Cyclomune is approved in the UK for the treatment of dry eye disease (also known as keratoconjunctivitis sicca) when conventional lubricating eye drops are insufficient. The medication is indicated for adult patients who have an inflammatory component to their dry eye and who require a therapeutic agent that promotes tear production.

  • Primary indication: Chronic dry eye disease associated with ocular surface inflammation.
  • Typical patient profile: Adults experiencing persistent eye irritation, burning, blurred vision, or a gritty sensation despite the use of artificial tears.

If you are uncertain whether Cyclomune is appropriate for your specific eye condition, consult a qualified eye care professional.

Patient Suitability and Contraindications

Who Should Use Cyclomune?

  • Adults (≥ 18 years) diagnosed with dry eye disease that has an inflammatory basis.
  • Patients who have not achieved adequate relief with lubricating eye drops alone.

Absolute Contraindications

  • Known hypersensitivity to cyclosporine or any excipients in the formulation.
  • Active ocular infection (bacterial, viral, or fungal) in the eye to be treated.

Relative Contraindications

  • Use of contact lenses during treatment (lenses should be removed before each dose and can be re-inserted after 15 minutes).
  • Pregnancy or breastfeeding: Safety data are limited; use only if the potential benefit justifies the potential risk.
  • Severe ocular surface disease unrelated to dryness (e.g., acute allergic conjunctivitis) where cyclosporine’s anti-inflammatory action may be inappropriate.

Special Populations

  • Elderly: May experience greater ocular surface sensitivity; monitor for irritation.
  • Pediatric: The safety and efficacy of Cyclomune in children have not been established; it is not routinely prescribed to patients under 18 years.

Safety Profile: Side Effects and Interactions

Common Side Effects

  • Eye burning or stinging - usually mild and transient.
  • Redness or itching - may occur during the first weeks of therapy.
  • Blurred vision - temporary after instillation; improve as the eye adapts.

These effects typically diminish with continued use. If irritation persists beyond two weeks, contact your eye care provider.

Serious Adverse Events

  • Ocular infection - any signs of increasing pain, discharge, or worsening redness require immediate medical assessment.
  • Elevated intra-ocular pressure (IOP) - rare but possible; regular monitoring is advised for patients with glaucoma risk.
  • Allergic reaction - swelling, rash, or severe eye pain may indicate hypersensitivity and necessitate discontinuation.

Drug Interactions

  • Other ophthalmic medications: Concurrent use of topical steroids may enhance immunosuppression; use under professional guidance.
  • Systemic cyclosporine: Although systemic absorption from eye drops is minimal, concurrent systemic cyclosporine could increase total exposure; inform your prescriber of all systemic immunosuppressants.
  • CYP3A4 inhibitors or inducers: Significant interactions are unlikely with topical use, but extreme caution is advised if systemic cyclosporine is also being taken.

Food and Lifestyle Interactions

  • No specific dietary restrictions are linked to Cyclomune.
  • Avoid applying the medication while wearing contact lenses; remove lenses before each dose.
  • Driving or operating machinery is generally safe, but if visual disturbances occur, defer such activities until they resolve.

How to Take Cyclomune

  • Standard dosing: Instill one drop of Cyclomune into each affected eye twice daily (morning and evening) or as directed by your prescriber.
  • Formulation handling: Shake the bottle gently if instructed on the label; otherwise, avoid vigorous shaking. Do not touch the tip of the bottle to any surface.
  • Dosage strengths:
  • 0.05 % - commonly prescribed for patients with mild-to-moderate inflammation.
  • 0.1 % - may be selected for more severe disease when a higher anti-inflammatory effect is required.
  • Special populations: Dose adjustments are generally unnecessary for elderly patients, but clinicians may start with the lower concentration and titrate upward based on response.
  • Missed dose: If you forget a dose, use it as soon as you remember unless it is near the time of the next scheduled dose; in that case, skip the missed dose-do not double-dose.
  • Overdose: Excessive instillation may cause heightened eye irritation or transient blurred vision. If a large amount is accidentally applied, rinse the eye with sterile saline and seek medical advice.
  • Discontinuation: No tapering is required when stopping Cyclomune. However, abrupt cessation may lead to a return of dry-eye symptoms; discuss alternative management strategies with your clinician.

Monitoring and Follow-Up

  • Initial review: Approximately 4-6 weeks after starting treatment, a follow-up appointment is recommended to assess symptom improvement and ocular surface health.
  • Intra-ocular pressure checks: For patients with a history of glaucoma or ocular hypertension, IOP should be measured at baseline and periodically during therapy.
  • Signs to report: Persistent burning, new discharge, reduced vision, or any signs of infection should prompt an earlier clinical review.

Storage and Handling

  • Keep the bottle tightly sealed and store at room temperature (15-25 °C), away from direct sunlight and moisture.
  • Do not freeze the medication.
  • Keep out of reach of children and pets.
  • Discard any remaining product 30 days after opening, even if the expiration date on the label is later, to maintain sterility.

Medication-Specific Glossary

Calcineurin Inhibitor
A class of drugs that block the enzyme calcineurin, thereby reducing T-cell activation and inflammatory cytokine release.
Tear Film
The thin liquid layer covering the ocular surface that provides lubrication, nutrition, and protection against pathogens.
Ocular Surface Inflammation
An immune-mediated reaction affecting the cornea and conjunctiva, often contributing to dry eye symptoms.
Intra-ocular Pressure (IOP)
The fluid pressure within the eye; elevated IOP can be a risk factor for glaucoma.

Medical Disclaimer

This article provides educational information about Cyclomune and is not a substitute for professional medical advice. Treatment decisions, including the use of any medication for unapproved indications, must be made under the guidance of a qualified healthcare provider. The content is intended for informational purposes and does not constitute medical recommendations. Always consult a physician before starting, stopping, or changing any medication regimen.

Information for Cyclomune is sourced from established medical standards and updated frequently. It is provided for general guidance and should be confirmed with a healthcare professional before use.
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