Prophylaxis of organ rejection in adult kidney and liver allograft recipients.
Treatment of allograft rejection resistant to conventional immunosuppressive agents.
It is recommended for use together with corticosteroids when appropriate
Administration: Take orally on an empty stomach—at least 1 /hour before or 2–3 /hours after meals; avoid grapefruit juice as it may increase blood levels
Dosing: Initial dosing is 0.1–0.2 /mg/kg/day, given in two divided doses (e.g., twice daily) for kidney or liver transplant prophylaxis; dosing may be adjusted based on body weight and clinical response
Monitoring & Precautions: Requires regular blood level monitoring to avoid toxicity or subtherapeutic dosing. Avoid alcohol; exercise caution in hepatic or renal impairment; not recommended during pregnancy or breastfeeding unless necessary, under physician supervision
Malaysia