Buy Cyclomune
Cyclomune

47.6
A powerful medication used to treat autoimmune conditions and prevent the body from rejecting organ transplants.


Ingredient
Availability
In Stock
Delivery
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

Alternative/Local Brand
Cyclosporin
Active Ingredient(s)
Cyclosporine
Primary Category
Immune Suppression
Therapeutic Class
Immunosuppressant
Pharmacological Class
Calcineurin Inhibitors
Indications
Psoriasis, Atopic dermatitis, Rheumatoid arthritis, Organ transplant rejection
Contraindications
Uncontrolled high blood pressure, Active infection, Severe kidney disease
Minor Side Effects
Tremor, Gum swelling, Tiredness
Moderate Side Effects
High blood pressure, Changes in hair growth, Stomach upset
Serious Side Effects
Kidney toxicity, Liver failure, Increased risk of infection, Vision changes
Dosage Forms
Capsule, Oral Solution, Eye Drops
Administration Route
Oral
Mechanism of Action
It works by suppressing the immune system to stop the body from attacking healthy tissue or rejecting a transplanted organ.
Prescription Status
Rx
Manufacturer
Sun Pharmaceutical
Patient Summary
A powerful medication used to treat autoimmune conditions and prevent the body from rejecting organ transplants.
Onset Time
Several weeks for autoimmune conditions
Duration
12-24 hours
Storage Instructions
Keep in the original container to protect from light and moisture.
Drug Interactions
Grapefruit juice, St. John's wort, Statins, Some antibiotics
Age Restrictions
Dosage is strictly based on weight; use with caution in elderly patients.
Pregnancy Use
Use only if absolutely necessary; can cause premature birth or low birth weight.
Alternative Drugs
Sandimmun, Neoral

What is Cyclomune?

Cyclomune is an ophthalmic solution that contains cyclosporine as its active component. Cyclosporine belongs to the class of immunosuppressants and is used in the management of ocular surface disorders that involve inflammation. In Hong Kong, Cyclomune is a prescription-only medication regulated by the Department of Health. It is supplied in a bottle of ophthalmic solution, with two authorized strengths: 0.05 % and 0.1 %.

How Cyclomune Works in the Body

Cyclosporine is a calcineurin inhibitor. By binding to cyclophilin inside T-lymphocytes, it blocks the enzyme calcineurin, which is essential for activating the transcription factor NF-κB. This inhibition reduces the production of inflammatory cytokines such as interleukin-2, leading to decreased T-cell activation and inflammation on the ocular surface.

  • Onset of action: Symptom improvement may be noticed after several weeks of twice-daily use.
  • Duration: The immunomodulatory effect persists while the drops are used regularly; discontinuation results in gradual loss of benefit.
  • Pharmacokinetics: The ophthalmic formulation is designed for local delivery; systemic absorption is minimal, which limits systemic side-effects.

Conditions Treated by Cyclomune

Cyclomune is approved in Hong Kong for the treatment of dry eye disease (keratoconjunctivitis sicca), an autoimmune-mediated condition characterized by tear-film instability and ocular surface inflammation. It is indicated for patients who have persistent symptoms despite the use of artificial tears.

  • Primary indication: Management of signs and symptoms of dry eye disease.
  • Typical patient profile: Adults with chronic ocular dryness, burning, or foreign-body sensation unresponsive to lubricants.

If further therapeutic applications are explored, they must be supported by peer-reviewed evidence and are considered off-label.

Off-Label and Investigational Applications

No robust, peer-reviewed evidence currently supports off-label uses of Cyclomune in Hong Kong. Consequently, this section is omitted to avoid speculation.

Who Should (Not) Use Cyclomune?

Absolute Contraindications

  • Known hypersensitivity to cyclosporine or any component of the formulation.
  • Active ocular infection (bacterial, viral, or fungal).
  • Uncontrolled glaucoma or markedly elevated intra-ocular pressure (IOP) unless a specialist advises otherwise.

Relative Contraindications

  • Recent ocular surgery; use only if the surgeon approves.
  • Severe ocular surface disease (e.g., extensive corneal ulceration) where an alternative therapy may be preferable.
  • Pregnancy or lactation: cyclosporine crosses the placenta; risk-benefit should be evaluated by a healthcare professional.

Special Populations

  • Elderly: No dosage adjustment required, but monitor IOP closely.
  • Pediatric: Safety and efficacy have not been established; use only under specialist supervision.

Safety Profile: Side Effects and Interactions

Common Side Effects

  • Burning or stinging sensation upon instillation (commonly reported).
  • Transient redness or irritation of the conjunctiva.
  • Blurred vision for a few minutes after drop administration.

Serious Adverse Events

  • Increased intra-ocular pressure that may lead to glaucoma.
  • Cataract formation with long-term use (rare).
  • Severe ocular infection requiring immediate medical attention.

Drug Interactions

  • Systemic cyclosporine interacts with strong CYP3A4 inhibitors (e.g., ketoconazole, erythromycin). Although topical absorption is low, clinicians should be aware of concomitant systemic cyclosporine therapy.
  • No known clinically significant interactions with most topical ophthalmic agents, but patients should inform their eye care provider of all concurrent eye medications.

Food and Lifestyle Interactions

  • No specific food interactions with the ophthalmic solution.
  • Alcohol does not affect the local action of Cyclomune, but excessive drinking may worsen dry-eye symptoms.
  • Driving or operating machinery is not impaired by Cyclomune; however, transient visual blur after instillation may require a brief pause.

If detailed interaction data are unavailable, patients should always discuss their full medication list with a pharmacist or ophthalmologist.

How to Take Cyclomune

  • Standard dosing: Instill one drop into each affected eye twice daily (morning and evening).
  • Available strengths: 0.05 % or 0.1 % ophthalmic solution, selected by the prescribing clinician based on disease severity.
  • Administration tips:
  • Wash hands thoroughly before use.
  • Tilt the head back slightly, pull down the lower eyelid, and place a single drop onto the ocular surface without touching the bottle tip to the eye.
  • Close the eye gently for a few seconds to allow the medication to spread.
  • Special populations: No routine dosage adjustment for renal or hepatic impairment due to minimal systemic exposure.
  • Missed dose: If a dose is missed, use it as soon as remembered unless it is near the time of the next scheduled dose; do not double-dose.
  • Overdose: Excessive ocular application may cause increased irritation, blurred vision, or elevated IOP. Seek medical advice if symptoms persist.
  • Discontinuation: Stop using Cyclomune under guidance of an eye care professional; abrupt cessation may lead to return of dry-eye symptoms.

Monitoring and Follow-Up

  • Intra-ocular pressure (IOP): Check baseline IOP before initiating therapy and reassess periodically, especially in patients with a history of glaucoma.
  • Corneal health: Regular slit-lamp examination to monitor for signs of infection, epithelial defects, or cataract development.
  • Symptom review: Patients should report persistent burning, worsening vision, or new ocular pain promptly.
  • Routine follow-up: At least every 3-6 months, or sooner if adverse events arise.

Storage and Handling

  • Store Cyclomune at room temperature (15 °C - 30 °C) away from direct sunlight and moisture.
  • Keep the bottle tightly closed when not in use.
  • After opening: Discard the remaining solution 30 days later, even if the expiration date has not been reached, to prevent microbial contamination.
  • Do not freeze the product.
  • Keep out of reach of children; use child-proof caps if available.

Medication-Specific Glossary

Calcineurin Inhibitor
A drug class that blocks the calcium-dependent phosphatase calcineurin, thereby reducing T-cell activation and cytokine release.
Intra-ocular Pressure (IOP)
The fluid pressure inside the eye; elevated IOP is a major risk factor for glaucoma.
Ocular Surface Inflammation
An immune-mediated response affecting the cornea and conjunctiva, often presenting as redness, burning, and tear-film instability.

Medical Disclaimer

This article provides educational information about Cyclomune and is not a substitute for professional medical advice. Treatment decisions, including use 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.

Cyclomune FAQ

Can I travel with Cyclomune in my hand luggage?

Yes. Cyclomune is classified as a prescription ophthalmic medication, not a controlled substance, so it can be carried in hand luggage. Keep the bottle in its original packaging and present the prescription label if requested at security.

How does Cyclomune differ from other cyclosporine eye drops on the market?

While all cyclosporine ophthalmic solutions share the same active ingredient, formulation differences (e.g., preservative type, vehicle viscosity) can affect tolerability. Cyclomune’s bottle format and available strengths (0.05 % and 0.1 %) provide flexibility for clinicians to tailor therapy based on disease severity.

What does the bottle of Cyclomune look like?

Cyclomune is supplied in a clear, opaque-white ophthalmic bottle with a dropper tip. The label displays the product name, concentration (0.05 % or 0.1 %), and regulatory information required in Hong Kong.

Do I need to avoid contact lens wear while using Cyclomune?

It is advisable to remove contact lenses before instilling the drops and wait at least 15 minutes before reinserting them. This reduces the risk of lens contamination and ensures optimal drug absorption.

Is Cyclomune subject to drug testing for athletes?

Cyclosporine is listed on the World Anti-Doping Agency (WADA) prohibited list when used systemically. Topical ocular use is generally considered a low-risk route, but athletes should disclose all medications to their sports governing body.

What are the key clinical trials that supported Cyclomune’s approval?

Pivotal Phase III studies demonstrated that twice-daily cyclosporine ophthalmic solution improved corneal staining scores and patient-reported symptoms compared with placebo. These trials formed the basis for regulatory approval for dry eye disease.

Can Cyclomune be stored in a refrigerator to prolong shelf life?

No. Storing the bottle at temperatures below room temperature can alter the solution’s viscosity and potency. Keep it at ambient conditions as indicated on the label.

How long after opening should I discard the bottle?

After opening, the solution should be discarded after 30 days to minimize the risk of microbial growth, even if the printed expiration date is later.

Will using Cyclomune affect my vision temporarily after each dose?

A brief period of blurred vision or visual “cloudiness” can occur for a few minutes after instillation. This is normal and typically resolves without intervention.

Why is the 0.1 % strength sometimes chosen over the 0.05 %?

The higher concentration may be prescribed for patients with more severe dry-eye signs or those who have not responded adequately to the lower strength. The clinician decides based on clinical assessment and tolerability.

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