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Ciclosporin

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1554:'s 1992 memoir explains through the eyes of a transplant surgeon that ciclosporin was an epoch-making drug for solid organ allotransplantation. It greatly expanded the clinical applicability of such transplantation by substantially advancing the antirejection pharmacotherapy component. Put simply, the biggest limits of applying such transplantation more widely were not cost or surgical skill (as formidable as those are) but rather the problem of allograft rejection and the scarcity of donor organs. Ciclopsporin was a major advancement against the rejection part of the challenge. 833: 1305:(MPTP), thus preventing MPTP opening. The MPTP is found in the mitochondrial membrane of cardiac muscle cells. MPTP opening signifies a sudden change in the inner mitochondrial membrane permeability, allowing protons and other ions and solutes of a size up to ~1.5 kDa to go through the inner membrane. This change of permeability is considered a cellular catastrophe, leading to cell death. However, brief mitochondrial permeability transition pore openings play an essential physiological role in maintaining healthy mitochondrial homeostasis. 760: 737: 51: 1705:. Ciclosporin's neuroprotective properties were first discovered in the early 1990s when two researchers (Eskil Elmér and Hiroyuki Uchino) were conducting experiments in cell transplantation. An unintended finding was that cyclosporin A was strongly neuroprotective when it crossed the blood–brain barrier. This same process of mitochondrial destruction through the opening of the MPT pore is implicated in making traumatic brain injuries much worse. 875:
InChI=1S/C62H111N11O12/c1-25-27-28-40(15)52(75)51-56(79)65-43(26-2)58(81)67(18)33-48(74)68(19)44(29-34(3)4)55(78)66-49(38(11)12)61(84)69(20)45(30-35(5)6)54(77)63-41(16)53(76)64-42(17)57(80)70(21)46(31-36(7)8)59(82)71(22)47(32-37(9)10)60(83)72(23)50(39(13)14)62(85)73(51)24/h25,27,34-47,49-52,75H,26,28-33H2,1-24H3,(H,63,77)(H,64,76)(H,65,79)(H,66,78)/b27-25+/t40-,41+,42-,43+,44+,45+,46+,47+,49+,50+,51+,52-/m1/s1
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Preservation of this interaction, in turn, protects synaptopodin from cathepsin L-mediated degradation. Altogether, the antiproteinuric effect of Ciclosporin results, at least in part, from the maintenance of synaptopodin protein abundance in podocytes, which, in turn, is sufficient to maintain the integrity of the glomerular filtration barrier and to safeguard against proteinuria.
1348: 42: 6654: 1720:(MPTP) manifests in ischemia (blood flow restriction to tissue) and reperfusion injury (damage occurring after ischemia when blood flow returns to tissue), after myocardial infarction (heart attack) and when mutations in mitochondrial DNA polymerase occur. The heart attempts to compensate for disease state by increasing the intracellular 1785:
in dogs. Unlike the human form of the medication, the lower doses used in dogs mean the drug acts as an immunomodulator and has fewer side effects than in humans. The benefits of using this product include the reduced need for concurrent therapies to bring the condition under control. It is available
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allows for reversal of cardiac hypertrophy caused in the original cardiac response. Decreasing the release of cytochrome C caused decreased cell death during injury and disease. Cyclosporin A also inhibits the phosphatase calcineurin pathway (14). Inhibition of this pathway has been shown to decrease
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adopted a positive opinion, recommending the granting of a marketing authorization for the medicinal product Vevizye, intended for the treatment of dry eye disease. The applicant for this medicinal product is Novaliq GmbH. Vevizye was approved for medical use in the European Union in September 2024.
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to block the opening of MPTP, and thus decreases the release of protein cytochrome C, which can cause programmed cell death. CypD is a protein within the MPTP that acts as a gate; binding by cyclosporin A decreases the amount of inappropriate opening of MPTP, which decreases the intramitochondrial
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Ciclosporin is in a phase II/III (adaptive) clinical study in Europe to determine its ability to ameliorate neuronal cellular damage and reperfusion injury (phase III) in traumatic brain injury. This multi-center study is being organized by NeuroVive Pharma and the European Brain Injury Consortium
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Ciclosporin can induce a remission of proteinuria caused by such diseases as MCD and FSGS. Ciclosporin blocks the calcineurin-mediated dephosphorylation of synaptopodin, a regulator of Rho GTPases in podocytes, thereby preserving the phosphorylation-dependent synaptopodin-14-3-3 beta interaction.
1215:. Ciclosporin causes hypertension by inducing vasoconstriction in the kidneys and increasing sodium reabsorption. The increase in blood pressure can cause cardiovascular events; it is thus recommended that the lowest effective dose for people requiring long-term treatment be used. 1338:
Ciclosporin is highly metabolized in humans and animals after ingestion. The metabolites, which include cyclosporin B, C, D, E, H, and L, have less than 10% of ciclosporin's immunosuppressant activity and are associated with higher kidney toxicity.
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Ciclosporin exhibits very poor solubility in water, and, as a consequence, suspension and emulsion forms of the medication have been developed for oral administration and for injection. Ciclosporin was originally brought to market by Sandoz (now
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Trammer B, Amann A, Haltner-Ukomadu E, Tillmanns S, Keller M, Högger P (November 2008). "Comparative permeability and diffusion kinetics of cyclosporine A liposomes and propylene glycol solution from human lung tissue into human blood ex vivo".
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and ethanol. NeuroSTAT was compared to Sandimmune in a phase I study and found to be bioequivalent. In this study, NeuroSTAT did not exhibit the anaphylactic and hypersensitivity reactions found in cremophor- and ethanol-based products.
1480:) is the polyketide synthase. These genes are associated with an active retrotransposon. Although these sequences are poorly-annotated on GenBank and other databases, 90% similar sequences can be found for the Cyclosporin-producing 4117:
Rüegger A, Kuhn M, Lichti H, Loosli HR, Huguenin R, Quiquerez C, et al. (1976). "" [Cyclosporin A, a Peptide Metabolite from Trichoderma polysporum (Link ex Pers.) Rifai, with a remarkable immunosuppressive activity].
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di Salvo ML, Florio R, Paiardini A, Vivoli M, D'Aguanno S, Contestabile R (January 2013). "Alanine racemase from Tolypocladium inflatum: a key PLP-dependent enzyme in cyclosporin biosynthesis and a model of catalytic promiscuity".
1290:(nuclear factor of activated T-cells), which moves to the T-cell nucleus and increases the transcription of genes for IL-2 and related cytokines. Ciclosporin, by preventing the dephosphorylation of NF-AT, leads to reduced 3272:
Morciano G, Giorgi C, Bonora M, Punzetti S, Pavasini R, Wieckowski MR, et al. (January 2015). "Molecular identity of the mitochondrial permeability transition pore and its role in ischemia-reperfusion injury".
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To facilitate the translation and pronunciation of INN, "f" should be used instead of "ph", "t" instead of "th", "e" instead of "ae" or "oe", and "i" instead of "y"; the use of the letters "h" and "k" should be
1620:), under the brand name Sandimmune, which is available as soft gelatin capsules, an oral solution, and a formulation for intravenous administration. These are all nonaqueous compositions. A newer 318: 1515:. Both strains produced a family of natural products called cyclosporins. Two related components that had antifungal activity were isolated from extracts from these fungi. The Norwegian strain, 4393:
Drug Name(s): Sandimmune (Cyclosporine), Company: Novartis, Action Date: 11/14/1983, Action Type: Approval, Submission Classification: Type 1 - New Molecular Entity, Review Priority: Priority
494:)-30-Ethyl-33--6,9,18,24-tetraisobutyl-3,21-diisopropyl-1,4,7,10,12,15,19,25,28-nonamethyl-1,4,7,10,13,16,19,22,25,28,31-undecaazacyclotritriacontane-2,5,8,11,14,17,20,23,26,29,32-undecone 1415:, which is the starting amino acid in the biosynthetic process. With the adenylation domain, cyclosporin synthetase generates the acyl-adenylated amino acids, then covalently binds the 4859:
Uchino H, Elmér E, Uchino K, Lindvall O, Siesjö BK (December 1995). "Cyclosporin A dramatically ameliorates CA1 hippocampal damage following transient forebrain ischaemia in the rat".
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using NeuroVive's formulation of ciclosporin called Neurostat (also known by its cardioprotection brand name of Ciclomulsion). This formulation uses a lipid emulsion base instead of
1624:, orally-administered formulation, Neoral, is available as a solution and as soft gelatin capsules. Compositions of Neoral are designed to form microemulsions in contact with water. 6724: 1981: 1951: 5057:
Lim HW, De Windt LJ, Mante J, Kimball TR, Witt SA, Sussman MA, et al. (April 2000). "Reversal of cardiac hypertrophy in transgenic disease models by calcineurin inhibition".
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Sullivan PG, Thompson M, Scheff SW (February 2000). "Continuous infusion of cyclosporin A postinjury significantly ameliorates cortical damage following traumatic brain injury".
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Mott JL, Zhang D, Freeman JC, Mikolajczak P, Chang SW, Zassenhaus HP (July 2004). "Cardiac disease due to random mitochondrial DNA mutations is prevented by cyclosporin A".
2146: 1548:. The first patient, on 9 March 1980, was a 28-year-old woman. In the United States, the Food and Drug Administration (FDA) approved ciclosporin for clinical use in 1983. 891: 4367: 2116: 2081: 2046: 1524:
The immunosuppressive effect of the natural product ciclosporin was discovered on 31 January 1972 in a screening test on immune suppression designed and implemented by
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cause inappropriate MPTP opening leading to a decrease in the cardiac range of function, leading to cardiac hypertrophy as an attempt to compensate for the problem.
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for "Cyclosporine Inhalation Solution (CIS) in Lung Transplant and Hematopoietic Stem Cell Transplant Recipients for the Treatment of Bronchiolitis Obliterans" at
6729: 1568: 4948:"Transient cardiac expression of constitutively active Galphaq leads to hypertrophy and dilated cardiomyopathy by calcineurin-dependent and independent pathways" 4017: 144: 3247: 855:
CC1C(=O)N(CC(=O)N((C(=O)N(C(=O)N((C(=O)N(C(=O)N(C(=O)N((C(=O)N((C(=O)N((C(=O)N((C(=O)N1)((C)C/C=C/C)O)C)C(C)C)C)CC(C)C)C)CC(C)C)C)C)C)CC(C)C)C)C(C)C)CC(C)C)C)C
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Calne RY, White DJ, Thiru S, Evans DB, McMaster P, Dunn DC, et al. (1978). "Cyclosporin A in patients receiving renal allografts from cadaver donors".
3548: 3057:"Effects of the calcineurin dependent signaling pathway inhibition by cyclosporin A on early and late cardiac remodeling following myocardial infarction" 1717: 1694: 1302: 2916: 3104:
Handschumacher RE, Harding MW, Rice J, Drugge RJ, Speicher DW (November 1984). "Cyclophilin: a specific cytosolic binding protein for cyclosporin A".
1545: 1462:, the species currently used for mass production of Cyclosporin, has the biosynthetic genes arranged into a 12-gene cluster. Of these 12 genes, SimA ( 1584:
The natural product was named cyclosporin by the German-speaking scientists who first isolated it and cyclosporine when translated into English. Per
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at Sandoz. The chemical structure of cyclosporin was determined in 1976, also at Sandoz. The success of the drug candidate ciclosporin in preventing
6138: 4349: 978:, increased hair growth, and vomiting. Other severe side effects include an increased risk of infection, liver problems, and an increased risk of 3544:
However, the name, "Beauveria nivea", also appears in several other articles including in a 2001 online publication by Harriet Upton entitled "
4751:"Bioequivalence and tolerability assessment of a novel intravenous ciclosporin lipid emulsion compared to branded ciclosporin in Cremophor EL" 2222:
Text was copied from this source which is copyright European Medicines Agency. Reproduction is authorized provided the source is acknowledged.
4649: 4429: 4011: 3536: 2978: 2458: 1034: 6709: 1372: 2464: 1973: 1943: 3626:"Immunosuppressive activity of cyclosporine metabolites compared and characterized by mass spectroscopy and nuclear magnetic resonance" 2176: 6674: 4791: 3160:"Cyclophilin D controls mitochondrial pore-dependent Ca(2+) exchange, metabolic flexibility, and propensity for heart failure in mice" 6694: 6081: 5451: 4530: 4384: 3910:"Identification of cyclosporin C from Amphichorda felina using a Cryptococcus neoformans differential temperature sensitivity assay" 2280: 1585: 867: 2817: 2335: 1643:(dry eye syndrome) has been marketed under the brand name Restasis. Ikervis is a similar formulation with a concentration of 0.1%. 5215: 1627:
Generic ciclosporin preparations have been marketed under various brand names, including Cicloral (by Sandoz/Hexal), Gengraf (by
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Cyclosporin A has been shown to decrease cardiac hypertrophy by affecting cardiac myocytes in many ways. Cyclosporin A binds to
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domain is responsible for substrate recognition and activation, whereas the thiolation domain covalently binds the adenylated
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In 1970, new strains of fungi were isolated from soil samples taken from Norway and from Wisconsin in the US by employees of
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On 2 September (1983), the Food and Drug Administration approved cyclosporin, a new drug that suppresses the immune system.
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Borel JF, Feurer C, Gubler HU, Stähelin H (July 1976). "Biological effects of cyclosporin A: a new antilymphocytic agent".
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Lawen A (October 2015). "Biosynthesis of cyclosporins and other natural peptidyl prolyl cis/trans isomerase inhibitors".
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Reinhard T (2000). "Lokales Cyclosporin A bei Nummuli nach Keratoconjunctivitis epidemica Eine Pilotstudie - Springer".
2595: 1491:). SimB has two paralogs in the same organism with different but overlapping functions thanks to their low specificity. 924: 608: 195: 4463: 1266:
and preventing the mitochondrial permeability transition pore from opening. Ciclosporin binds to the cytosolic protein
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Dijkmans BA, van Rijthoven AW, Goei Thè HS, Boers M, Cats A (August 1992). "Cyclosporine in rheumatoid arthritis".
1811: 1640: 1604: 968: 131: 3742: 1439:(Bmt) indicate cyclosporin synthetase requires the action of other enzymes. The racemization of L-Ala to D-Ala by 5944: 3483: 2506: 2478: 2258: 1702: 1572: 1234: 1211:
dysfunction, burning sensations at finger tips, and an increased vulnerability to opportunistic fungal and viral
1058: 1436: 6679: 6324: 5194: 3545: 3416:"The actin cytoskeleton of kidney podocytes is a direct target of the antiproteinuric effect of cyclosporine A" 3490:
Pritchard DI (May 2005). "Sourcing a chemical succession for cyclosporin from parasites and human pathogens".
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Borel JF (June 2002). "History of the discovery of cyclosporin and of its early pharmacological development".
1102: 557: 3702:"Mechanism of cyclosporin A biosynthesis. Evidence for synthesis via a single linear undecapeptide precursor" 2913: 6319: 1525: 1404: 1335:, which is rarely encountered in nature. Unlike most peptides, ciclosporin is not synthesized by ribosomes. 232: 4896:"Therapeutic window analysis of the neuroprotective effects of cyclosporine A after traumatic brain injury" 755: 6124: 5550: 5231: 2232: 1686: 1682: 1351:
Cyclosporin biosynthesis. Bmt = butenyl-methyl-threonine, Abu = L-alpha-aminobutyric acid, Sar = sarcosine
1066: 1029: 1915:"FDA-sourced list of all drugs with black box warnings (Use Download Full Results and View Query links.)" 1282:. In T-cells, activation of the T-cell receptor normally increases intracellular calcium, which acts via 6719: 6704: 6311: 4581: 4341: 2668:"Non-biologic systemic treatments for atopic dermatitis: Current state of the art and future directions" 1600: 1428: 1329: 1074: 1070: 1054: 1014: 920: 548: 256: 4735: 1815: 1387:, and the condensation domain elongates the peptide chain. Cyclosporin synthetase substrates include L- 1037:. In 2021, it was the 175th most commonly prescribed medication in the United States, with more than 2 698: 677: 5200: 4959: 4303: 3757: 3113: 1914: 1529: 1356: 1238: 1172: 1140: 1117: 1078: 960: 936: 413: 1713:
Ciclosporin has been used experimentally to treat cardiac hypertrophy (an increase in cell volume).
982:. Blood levels of the medication should be checked to decrease the risk of side effects. Use during 50: 5532: 3158:
Elrod JW, Wong R, Mishra S, Vagnozzi RJ, Sakthievel B, Goonasekera SA, et al. (October 2010).
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Cheng M (2013). "Hartmann Stahelin (1925-2011) and the contested history of cyclosporin A".
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2920: 1678: 1533: 1318: 1233:(i.e. there is sufficient evidence of carcinogenicity in humans), specifically leading to 1106: 975: 398: 388: 20: 4494: 2963: 2842:
Robert N, Wong GW, Wright JM (January 2010). "Effect of cyclosporine on blood pressure".
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to increase the contractility cycling rates. Constitutively high levels of mitochondrial
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to activate calcineurin. Calcineurin then dephosphorylates the transcription factor
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Ciclosporin also binds to the cyclophilin D protein that constitutes part of the
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Proceedings of the National Academy of Sciences of the United States of America
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cyclosporin, ciclosporin A, cyclosporine A, cyclosporin A (CsA), cyclosporine (
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4769: 3971: 3925: 3384: 1470: 1447:-dependent. The formation of butenyl-methyl-L-threonine is performed by a Bmt 1416: 1364: 1325: 1295: 1283: 805: 588: 251: 5007:"Increased cytochrome c correlates with poor survival in aggressive lymphoma" 4972: 4947: 4131: 2511:
World Health Organization model list of essential medicines: 22nd list (2021)
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The search for anti-inflammatory drugs case histories from concept to clinic
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4929: 4837: 4829: 4787: 4712: 4518: 4495:"Microemulsions for oral administration and their therapeutic applications" 4323: 4180: 4171: 4154: 4052: 3979: 3943: 3894: 3843: 3777: 3686: 3511: 3476: 3449: 3392: 3353: 3304: 3235: 3193: 3082: 3032: 2859: 2813: 2693: 2644: 2483:
World Health Organization model list of essential medicines: 21st list 2019
2418: 2039:"Neoral- cyclosporine capsule, liquid filled Neoral- cyclosporine solution" 4991: 4911: 4880: 4573: 4280: 4000:"The history of the discovery and development of Cyclosporin (Sandimmune)" 3825: 3769: 3727: 3651: 3610: 3133: 2900: 2769: 2728: 2636: 1900: 6541: 6416: 6105: 5613: 5523: 5459: 5381: 4616: 4245:
Starzl TE, Klintmalm GB, Porter KA, Iwatsuki S, Schröter GP (July 1981).
4139: 3560: 3320:"Mitochondrial reactive oxygen species (ROS) and ROS-induced ROS release" 3295: 2804: 2744:"Cyclosporine in severe ulcerative colitis refractory to steroid therapy" 1791: 1652: 1636: 1617: 1504: 1464: 1188: 1180: 1164: 1160: 1128: 1098: 979: 704: 568: 190: 5022: 4421: 4223: 2519: 2491: 577: 41: 6034: 5120: 4095: 4087: 3808:
Yang X, Feng P, Yin Y, Bushley K, Spatafora JW, Wang C (October 2018).
2271: 1400: 1396: 1392: 1321: 1274:, especially of T cells. This cyclosporin—cyclophilin complex inhibits 1255: 1176: 1144: 523: 5152:
Palmeiro BS (January 2013). "Cyclosporine in veterinary dermatology".
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Wilkinson ST, Johnson DB, Tardif HL, Tome ME, Briehl MM (March 2010).
4411: 4044: 3810:"Tolypocladium inflatum Benefits Fungal Adaptation to the Environment" 2684: 2667: 2004:"Health product highlights 2021: Annexes of products approved in 2021" 6349: 6180: 3175: 1781:
The medication is approved in the United States for the treatment of
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In addition to these indications, ciclosporin is also used in severe
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formulations are in clinical development, and include a solution in
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Laupacis A, Keown PA, Ulan RA, McKenzie N, Stiller CR (May 1982).
1537: 1521:, was later used for the large scale fermentation of ciclosporin. 1508: 1427:
linkage. Some of the amino acid substrates become N-methylated by
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Ciclosporin use after a kidney transplantation is associated with
1208: 1156: 832: 823: 648: 403: 5105:"Oral cyclosporine treatment in dogs: a review of the literature" 4294:
Kolata G (September 1983). "FDA speeds approval of cyclosporin".
6020: 5968: 5929: 5915: 5469: 5343: 4247:"Liver transplantation with use of cyclosporin a and prednisone" 1693:
associated with injury. Ciclosporin blocks the formation of the
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Some sources list the fungus under an alternative species name
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Briston T, Selwood DL, Szabadkai G, Duchen MR (January 2019).
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Ciclosporin is believed to work by decreasing the function of
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Min DI (March 1996). "Neoral: a microemulsion cyclosporine".
3700:
Dittmann J, Wenger RM, Kleinkauf H, Lawen A (January 1994).
3555:" (retrieved 19 June 2005). Mark Plotkin states in his book 721: 98: 4749:
Ehinger KH, Hansson MJ, Sjövall F, Elmér E (January 2013).
4727: 1596:
so that the INN for the medication is spelled ciclosporin.
1359:
synthetase, cyclosporin synthetase. The enzyme contains an
1123:
Ciclosporin has also been used in people with acute severe
974:
Common side effects include high blood pressure, headache,
312: 217: 86: 77: 5154:
Veterinary Clinics of North America: Small Animal Practice
3585:"Isolation of 10 cyclosporine metabolites from human bile" 2666:
Paolino A, Alexander H, Broderick C, Flohr C (May 2023).
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2969:(22nd ed.). New York: McGraw-Hill Medical. p.  2495:. WHO/MVP/EMP/IAU/2019.06. License: CC BY-NC-SA 3.0 IGO. 325: 2914:
Agents Classified by the IARC Monographs, Volumes 1–110
1035:
World Health Organization's List of Essential Medicines
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European Journal of Pharmaceutics and Biopharmaceutics
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3624:
Copeland KR, Yatscoff RW, McKenna RM (February 1990).
2792:
Clinical Journal of the American Society of Nephrology
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and colleagues at the University of Cambridge, and in
1254:
Ciclosporin's main effect is to lower the activity of
6642: 3546:
Origin of drugs in current use: the cyclosporin story
2334:. The American Society of Health-System Pharmacists. 2308:. The American Society of Health-System Pharmacists. 1451:
that uses acetate/malonate as its starting material.
1431:. The cyclization step releases cyclosporin from the 104: 92: 80: 74: 71: 4894:
Sullivan PG, Sebastian AH, Hall ED (February 2011).
2103: 2101: 2099: 1944:"Regulatory Decision Summary for Restasis Multidose" 95: 83: 6409: 6337: 6310: 6195: 5838: 5540: 5531: 5522: 5515: 5468: 5450: 5441: 5395: 5326: 5256: 5247: 3013:
Biochemical and Biophysical Research Communications
1639:of ciclosporin for treating inflammation caused by 821: 804: 771: 766: 747: 715: 687: 667: 647: 627: 607: 587: 567: 556: 547: 522: 502: 437: 425: 412: 397: 387: 379: 302: 297: 262: 250: 231: 205: 175: 161: 143: 126: 116: 89: 62: 57: 4413:The Puzzle People: Memoirs Of A Transplant Surgeon 2033: 2031: 2029: 2027: 4586:: CS1 maint: DOI inactive as of September 2024 ( 3369:"Treatment of focal segmental glomerulosclerosis" 2783:Naesens M, Kuypers DR, Sarwal M (February 2009). 4155:"The controversial early history of cyclosporin" 3559:, Penguin Books 2001, pages 46-47, that in 1996 1677:Ciclosporin has been investigated as a possible 1474:) is the alanine racemase, and SimG (similar to 1127:and hives that do not respond to treatment with 1077:. It is also approved in the US for treating of 1033:and came into medical use in 1983. It is on the 990:; however, ciclosporin does not appear to cause 536: 4372:It gained FDA approval at the end of 1983, ... 3318:Zorov DB, Juhaszova M, Sollott SJ (July 2014). 2938:. International Agency for Research on Cancer. 2385: 2383: 2261:(2009). Stuart MC, Kouimtzi M, Hill SR (eds.). 2200: 2198: 2196: 2194: 511: 5098: 5096: 4405: 4403: 4401: 4387:. United States Food and Drug Administration. 2447:Watts R, Clunie G, Hall F, Marshall T (2009). 1569:Committee for Medicinal Products for Human Use 6725:World Health Organization essential medicines 5216: 3993: 3991: 3989: 2875:"Cyclosporine-induced hyperuricemia and gout" 1875:"Cyclosporin A: a powerful immunosuppressant" 8: 5059:Journal of Molecular and Cellular Cardiology 3275:Journal of Molecular and Cellular Cardiology 1041:million prescriptions. It is available as a 1013:, which in turn decreases the production of 194: 122:Neoral, Sandimmune, Restasis, Gengraf, other 32: 2300: 2298: 2296: 2294: 2292: 372:In general: ℞ (Prescription only) 5537: 5528: 5519: 5447: 5253: 5223: 5209: 5201: 4941: 4939: 3153: 3151: 3149: 3147: 3145: 3143: 2265:. World Health Organization. p. 221. 1974:"Regulatory Decision Summary for Verkazia" 1786:as an ophthalmic ointment for dogs called 1718:mitochondrial permeability transition pore 1695:mitochondrial permeability transition pore 1303:mitochondrial permeability transition pore 1220:increased levels of uric acid in the blood 1024:Ciclosporin was isolated in 1971 from the 758: 735: 596: 5193:at the U.S. National Library of Medicine 5128: 5030: 4981: 4971: 4919: 4777: 4270: 4170: 3933: 3884: 3874: 3833: 3717: 3641: 3600: 3519:Sneader W (23 June 2005). "Ciclosporin". 3439: 3343: 3294: 3183: 3072: 3050: 3048: 3046: 3044: 3042: 3006: 3004: 3002: 3000: 2998: 2996: 2994: 2992: 2990: 2890: 2803: 2759: 2683: 2518: 2490: 2270: 1890: 1001:. It does this by forming a complex with 616: 5052: 5050: 2590:"FDA Approves First Generic of Restasis" 2453:. Oxford University Press. p. 558. 1607:(USAN) and cyclosporin is a former BAN. 1139:Side effects of ciclosporin can include 6649: 5109:Journal of Veterinary Internal Medicine 3960:Archives of Biochemistry and Biophysics 2844:Cochrane Database of Systematic Reviews 1831: 1468:) is the cyclosporin synthetase, SimB ( 872: 852: 731: 576: 451: 167: 4579: 4352:from the original on 26 February 2017. 4006:. Boston: Birkhäuser. pp. 27–63. 3998:Borel JF, Kis ZL, Beveridge T (1995). 3914:Applied Microbiology and Biotechnology 3486:such as Pritchard and Sneader in 2005: 2785:"Calcineurin inhibitor nephrotoxicity" 2565:"Cyclosporine - Drug Usage Statistics" 2392:"Mechanisms of action of cyclosporine" 2368:from the original on 14 September 2017 1810:(autoimmune blistering skin disease), 749: 31: 6730:Disease-modifying antirheumatic drugs 4020:from the original on 5 November 2017. 2513:. Geneva: World Health Organization. 2485:. Geneva: World Health Organization. 2467:from the original on 5 November 2017. 1854:from the original on 18 November 2010 697: 676: 656: 153: 135: 7: 4797:from the original on 26 October 2018 4738:from the original on 6 January 2014. 4626:from the original on 20 October 2022 4153:Heusler K, Pletscher A (June 2001). 3253:from the original on 21 January 2022 2709:Seminars in Arthritis and Rheumatism 2604:from the original on 2 February 2022 2545:from the original on 15 January 2024 2338:from the original on 13 January 2016 2312:from the original on 17 October 2016 2237:Union Register of medicinal products 1879:Canadian Medical Association Journal 703: 285: 275: 4728:"Hem - NeuroVive Pharmaceutical AB" 4566:10.7182/prtr.1.6.1.f04016025hh795up 4448:. World Health Organization. 1997. 4391:from the original on 1 March 2017. 4370:from the original on 1 March 2017. 4251:The New England Journal of Medicine 2942:from the original on 28 August 2021 2879:The New England Journal of Medicine 2748:The New England Journal of Medicine 2358:"Cyclosporine Use During Pregnancy" 2179:from the original on 13 August 2022 2149:from the original on 29 August 2023 1532:was shown in kidney transplants by 636: 527: 4873:10.1111/j.1748-1716.1995.tb09999.x 4554:Journal of Transplant Coordination 4493:Gibaud S, Attivi D (August 2012). 4416:. University of Pittsburgh Press. 4002:. In Merluzzi VJ, Adams J (eds.). 3527:. John Wiley & Sons. pp.  3216:Trends in Pharmacological Sciences 2600:(Press release). 2 February 2022. 2119:from the original on 30 March 2014 2084:from the original on 21 April 2014 14: 4533:from the original on 5 March 2018 3373:Expert Opinion on Pharmacotherapy 3164:Journal of Clinical Investigation 3061:European Journal of Heart Failure 2823:from the original on 20 July 2018 2672:Clinical and Experimental Allergy 2109:"Restasis- cyclosporine emulsion" 1818:(anal inflammatory disease), and 1603:(BAN), while cyclosporine is the 1586:International Nonproprietary Name 1546:Children's Hospital of Pittsburgh 6652: 4652:from the original on 3 July 2018 3567:that it is in fact a species of 2390:Matsuda S, Koyasu S (May 2000). 2049:from the original on 5 July 2013 1984:from the original on 7 June 2022 1978:Drug and Health Product Register 1954:from the original on 7 June 2022 1948:Drug and Health Product Register 1761:. Decreasing intramitochondrial 1588:(INN) guidelines for drugs, the 1435:. Amino acids such as D-Ala and 1355:Cyclosporin is synthesized by a 789: 783: 67: 49: 40: 4499:Expert Opinion on Drug Delivery 4316:10.1126/science.221.4617.1273-a 3706:Journal of Biological Chemistry 3589:Drug Metabolism and Disposition 1599:Ciclosporin is the INN and the 1264:calcineurin–phosphatase pathway 1199:retention (possibly leading to 1091:adenoviral keratoconjunctivitis 880:Key:PMATZTZNYRCHOR-CGLBZJNRSA-N 4861:Acta Physiologica Scandinavica 4470:. January 2013. Archived from 3465:Wiener Klinische Wochenschrift 2852:10.1002/14651858.CD007893.pub2 795: 777: 1: 4568:(inactive 7 September 2024). 4340:Gottesman J (20 March 1988). 4216:10.1016/S0140-6736(78)91970-0 3719:10.1016/S0021-9258(17)42019-9 3504:10.1016/S1359-6446(05)03395-7 3074:10.1016/S1388-9842(02)00120-4 2411:10.1016/S0162-3109(00)00192-2 1802:(immune response against the 1716:Inappropriate opening of the 1116:, It has been used in severe 5288:dihydroorotate dehydrogenase 4613:Food and Drug Administration 4511:10.1517/17425247.2012.694865 4342:"Milestones in Cardiac Care" 3876:10.1371/journal.pgen.1003496 3679:10.1016/j.bbagen.2014.12.009 2965:Review of medical physiology 2721:10.1016/0049-0172(92)90046-g 2596:Food and Drug Administration 1681:agent in conditions such as 1229:Ciclosporin is listed as an 1187:(particularly of the lips), 1065:and to prevent rejection of 925:immunosuppressant medication 6710:Drugs developed by Novartis 5267:purine synthesis inhibitors 4758:Clinical Drug Investigation 4263:10.1056/NEJM198107303050507 3287:10.1016/j.yjmcc.2014.08.015 2892:10.1056/NEJM199002013220514 2761:10.1056/NEJM199406303302601 1822:(a neuromuscular disease). 1798:. It is also used to treat 1518:Tolypocladium inflatum Gams 1258:; it does so by inhibiting 1063:bone marrow transplantation 6746: 5166:10.1016/j.cvsm.2012.09.007 4705:10.1016/j.ejpb.2008.07.001 3523:Drug Discovery — A History 3336:10.1152/physrev.00026.2013 3228:10.1016/j.tips.2018.11.004 3025:10.1016/j.bbrc.2004.05.104 2523:. WHO/MHP/HPS/EML/2021.02. 1812:Inflammatory bowel disease 1703:neurodegenerative diseases 1641:keratoconjunctivitis sicca 1605:United States Adopted Name 1437:butenyl-methyl-L-threonine 969:keratoconjunctivitis sicca 767:Chemical and physical data 18: 6675:Drugs developed by AbbVie 5452:IL-1 receptor antagonists 4770:10.1007/s40261-012-0029-x 3972:10.1016/j.abb.2012.11.011 3926:10.1007/s00253-018-8792-0 3643:10.1093/clinchem/36.2.225 3484:Hypocladium inflatum gams 3385:10.1517/14656566.6.9.1539 2873:Figg WD (February 1990). 2507:World Health Organization 2479:World Health Organization 2259:World Health Organization 2210:European Medicines Agency 2173:European Medicines Agency 1844:Dictionary.com Unabridged 1635:). Since 2002, a topical 1573:European Medicines Agency 1540:transplants performed by 1235:squamous cell skin cancer 1143:, increased hair growth, 1059:graft-versus-host disease 888: 863: 843: 442: 421:variable (about 24 hours) 48: 39: 6695:IARC Group 1 carcinogens 6325:Anti-lymphocyte globulin 5195:Medical Subject Headings 4973:10.1073/pnas.95.23.13893 4464:"The Cyclosporine Story" 4132:10.1002/hlca.19760590412 4033:Clinical Transplantation 3750:Archives of Microbiology 3563:researcher Kathie Hodge 2961:Ganong WF (2005). "27". 2263:WHO Model Formulary 2008 1773:myocardial hypertrophy. 1685:, and has been shown in 1292:effector T-cell function 19:Not to be confused with 6320:Anti-thymocyte globulin 5232:Immunosuppressive drugs 3126:10.1126/science.6238408 2919:25 October 2011 at the 1328:; it contains a single 1231:IARC Group 1 carcinogen 6125:Interleukin-6 receptor 5551:Complement component 5 5071:10.1006/jmcc.2000.1113 4900:Journal of Neurotrauma 4830:10.1006/exnr.1999.7282 4818:Experimental Neurology 4670:Clinical trial number 4172:10.4414/smw.2001.09702 4120:Helvetica Chimica Acta 1683:traumatic brain injury 1460:Tolypocladium inflatum 1352: 1120:and related diseases. 1030:Tolypocladium inflatum 1015:inflammatory cytokines 4912:10.1089/neu.2010.1646 4468:www.davidmoore.org.uk 3826:10.1128/mBio.01211-18 3770:10.1007/s002030100324 3324:Physiological Reviews 2637:10.1007/s003470070025 2535:"The Top 300 of 2021" 2175:. 17 September 2018. 1601:British Approved Name 1429:S-adenosyl methionine 1350: 1294:; it does not affect 1173:increased cholesterol 1057:to treat and prevent 963:. It is also used as 921:calcineurin inhibitor 257:Calcineurin inhibitor 4159:Swiss Medical Weekly 3492:Drug Discovery Today 2805:10.2215/CJN.04800908 1526:Hartmann F. Stähelin 1357:nonribosomal peptide 1239:non-Hodgkin lymphoma 1222:and, in some cases, 1118:rheumatoid arthritis 1079:rheumatoid arthritis 937:rheumatoid arthritis 6715:Ophthalmology drugs 5023:10.3892/ol_00000040 4964:1998PNAS...9513893M 4422:10.2307/j.ctt9qh63b 4308:1983Sci...221.1273K 3762:2001ArMic.176..285H 3118:1984Sci...226..544H 2332:"Cyclosporine eent" 2239:. 23 September 2024 1980:. 23 October 2014. 1950:. 23 October 2014. 1808:pemphigus foliaceus 1794:, which is part of 1645:Inhaled ciclosporin 1631:) and Deximune (by 1558:Society and culture 1449:polyketide synthase 1445:pyridoxal phosphate 1405:2-aminobutyric acid 1373:N-methyltransferase 1369:condensation domain 1250:Mechanism of action 1193:high blood pressure 345:(Prescription only) 321:(Prescription only) 36: 6700:Immunosuppressants 6482:Diroximel fumarate 6155:IL-2 receptor/CD25 5583:Certolizumab pegol 5236:Immunosuppressants 5121:10.1111/jvim.12265 4678:ClinicalTrials.gov 4619:. September 2009. 4609:FDA Data Dashboard 4474:on 22 October 2022 4410:Starzl TE (1992). 4210:(8104–5): 1323–7. 4165:(21–22): 299–302. 4088:10.1007/bf01973261 4076:Agents and Actions 3630:Clinical Chemistry 3551:2005-03-08 at the 3367:Meyrier A (2005). 2399:Immunopharmacology 1800:sebaceous adenitis 1790:, manufactured by 1687:animal experiments 1592:was replaced with 1567:In July 2024, the 1421:phosphopantetheine 1385:phosphopantetheine 1353: 1270:(immunophilin) of 1125:ulcerative colitis 1103:Sjögren's syndrome 1087:nummular keratitis 1043:generic medication 949:nephrotic syndrome 6690:CYP3A4 inhibitors 6685:CYP2D6 inhibitors 6640: 6639: 6487:Efgartigimod alfa 6477:Dimethyl fumarate 6405: 6404: 6333: 6332: 6306: 6305: 5511: 5510: 5437: 5436: 5278:Mycophenolic acid 4431:978-0-8229-3714-2 4346:Los Angeles Times 4045:10.1111/ctr.12072 4013:978-1-4615-9846-6 3538:978-0-471-89979-2 2980:978-0-07-144040-0 2685:10.1111/cea.14301 2625:Der Ophthalmologe 2460:978-0-19-922999-4 2428:on 11 August 2017 1820:myasthenia gravis 1816:anal furunculosis 1783:atopic dermatitis 1332: 1317:Ciclosporin is a 1177:trouble breathing 1114:atopic dermatitis 1075:liver transplants 957:organ transplants 906: 905: 834:Interactive image 717:CompTox Dashboard 368: 353: 340: 328: 316: 221: 188: 138: 16:Chemical compound 6737: 6657: 6656: 6655: 6648: 6283:Telimomab aritox 6186:Zolimomab aritox 6007:CD62L/L-selectin 5745:Immunoglobulin E 5538: 5529: 5520: 5448: 5254: 5225: 5218: 5211: 5202: 5178: 5177: 5149: 5143: 5142: 5132: 5100: 5091: 5090: 5054: 5045: 5044: 5034: 5011:Oncology Letters 5002: 4996: 4995: 4985: 4975: 4943: 4934: 4933: 4923: 4891: 4885: 4884: 4856: 4850: 4849: 4813: 4807: 4806: 4804: 4802: 4796: 4781: 4755: 4746: 4740: 4739: 4723: 4717: 4716: 4687: 4681: 4668: 4662: 4661: 4659: 4657: 4642: 4636: 4635: 4633: 4631: 4625: 4606: 4598: 4592: 4591: 4585: 4577: 4549: 4543: 4542: 4540: 4538: 4490: 4484: 4483: 4481: 4479: 4460: 4454: 4453: 4442: 4436: 4435: 4407: 4396: 4395: 4381: 4375: 4374: 4360: 4354: 4353: 4337: 4331: 4330: 4291: 4285: 4284: 4274: 4242: 4236: 4235: 4199: 4193: 4192: 4174: 4150: 4144: 4143: 4114: 4108: 4107: 4071: 4065: 4064: 4028: 4022: 4021: 3995: 3984: 3983: 3954: 3948: 3947: 3937: 3920:(5): 2337–2350. 3905: 3899: 3898: 3888: 3878: 3854: 3848: 3847: 3837: 3805: 3799: 3796: 3790: 3789: 3747: 3738: 3732: 3731: 3721: 3697: 3691: 3690: 3662: 3656: 3655: 3645: 3621: 3615: 3614: 3604: 3580: 3574: 3542: 3526: 3515: 3480: 3460: 3454: 3453: 3443: 3411: 3405: 3404: 3379:(9): 1539–1549. 3364: 3358: 3357: 3347: 3315: 3309: 3308: 3298: 3269: 3263: 3262: 3260: 3258: 3252: 3213: 3204: 3198: 3197: 3187: 3176:10.1172/JCI43171 3155: 3138: 3137: 3101: 3095: 3094: 3076: 3052: 3037: 3036: 3008: 2985: 2984: 2968: 2958: 2952: 2951: 2949: 2947: 2929: 2923: 2911: 2905: 2904: 2894: 2870: 2864: 2863: 2839: 2833: 2832: 2830: 2828: 2822: 2807: 2789: 2780: 2774: 2773: 2763: 2739: 2733: 2732: 2704: 2698: 2697: 2687: 2663: 2657: 2656: 2620: 2614: 2613: 2611: 2609: 2586: 2580: 2579: 2577: 2575: 2561: 2555: 2554: 2552: 2550: 2531: 2525: 2524: 2522: 2503: 2497: 2496: 2494: 2475: 2469: 2468: 2444: 2438: 2437: 2435: 2433: 2427: 2421:. Archived from 2396: 2387: 2378: 2377: 2375: 2373: 2354: 2348: 2347: 2345: 2343: 2328: 2322: 2321: 2319: 2317: 2302: 2287: 2286: 2274: 2255: 2249: 2248: 2246: 2244: 2229: 2223: 2221: 2219: 2217: 2202: 2189: 2188: 2186: 2184: 2165: 2159: 2158: 2156: 2154: 2135: 2129: 2128: 2126: 2124: 2105: 2094: 2093: 2091: 2089: 2070: 2059: 2058: 2056: 2054: 2035: 2022: 2021: 2019: 2017: 2000: 1994: 1993: 1991: 1989: 1970: 1964: 1963: 1961: 1959: 1940: 1934: 1933: 1931: 1929: 1919:nctr-crs.fda.gov 1911: 1905: 1904: 1894: 1870: 1864: 1863: 1861: 1859: 1836: 1804:sebaceous glands 1771: 1770: 1769: 1760: 1759: 1758: 1741: 1740: 1739: 1730: 1729: 1728: 1649:propylene glycol 1479: 1473: 1467: 1441:alanine racemase 1330: 1313:Pharmacokinetics 1040: 902: 901: 894: 836: 816: 814: 797: 791: 785: 779: 762: 751: 740: 739: 725: 723: 707: 701: 680: 660: 640: 620: 600: 580: 560: 540: 530: 529: 515: 417: 366: 363: 358: 351: 348: 338: 335: 327: 324: 314: 311: 289: 279: 219: 216: 198: 187: 184: 171: 157: 137: 134: 111: 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4072: 4068: 4030: 4029: 4025: 4014: 3997: 3996: 3987: 3956: 3955: 3951: 3907: 3906: 3902: 3869:(6): e1003496. 3856: 3855: 3851: 3807: 3806: 3802: 3797: 3793: 3745: 3740: 3739: 3735: 3699: 3698: 3694: 3673:(10): 2111–20. 3664: 3663: 3659: 3623: 3622: 3618: 3582: 3581: 3577: 3553:Wayback Machine 3543: 3539: 3518: 3516: 3489: 3487: 3481: 3462: 3461: 3457: 3432:10.1038/nm.1857 3420:Nature Medicine 3413: 3412: 3408: 3366: 3365: 3361: 3317: 3316: 3312: 3271: 3270: 3266: 3256: 3254: 3250: 3211: 3206: 3205: 3201: 3157: 3156: 3141: 3112:(4674): 544–7. 3103: 3102: 3098: 3054: 3053: 3040: 3010: 3009: 2988: 2981: 2960: 2959: 2955: 2945: 2943: 2931: 2930: 2926: 2921:Wayback Machine 2912: 2908: 2872: 2871: 2867: 2846:(1): CD007893. 2841: 2840: 2836: 2826: 2824: 2820: 2787: 2782: 2781: 2777: 2741: 2740: 2736: 2706: 2705: 2701: 2665: 2664: 2660: 2631:(11): 764–768. 2622: 2621: 2617: 2607: 2605: 2588: 2587: 2583: 2573: 2571: 2563: 2562: 2558: 2548: 2546: 2533: 2532: 2528: 2505: 2504: 2500: 2477: 2476: 2472: 2461: 2446: 2445: 2441: 2431: 2429: 2425: 2405:(2–3): 119–25. 2394: 2389: 2388: 2381: 2371: 2369: 2356: 2355: 2351: 2341: 2339: 2330: 2329: 2325: 2315: 2313: 2304: 2303: 2290: 2283: 2257: 2256: 2252: 2242: 2240: 2231: 2230: 2226: 2215: 2213: 2204: 2203: 2192: 2182: 2180: 2167: 2166: 2162: 2152: 2150: 2145:. 26 May 2023. 2137: 2136: 2132: 2122: 2120: 2107: 2106: 2097: 2087: 2085: 2072: 2071: 2062: 2052: 2050: 2037: 2036: 2025: 2015: 2013: 2012:. 3 August 2022 2002: 2001: 1997: 1987: 1985: 1972: 1971: 1967: 1957: 1955: 1942: 1941: 1937: 1927: 1925: 1913: 1912: 1908: 1872: 1871: 1867: 1857: 1855: 1838: 1837: 1833: 1828: 1779: 1768: 1766: 1765: 1764: 1762: 1757: 1755: 1754: 1753: 1751: 1738: 1736: 1735: 1734: 1732: 1727: 1725: 1724: 1723: 1721: 1711: 1709:Cardiac disease 1679:neuroprotective 1666: 1664:Neuroprotection 1661: 1613: 1611:Available forms 1582: 1565: 1560: 1530:organ rejection 1497: 1475: 1469: 1463: 1457: 1345: 1315: 1252: 1247: 1141:gum enlargement 1137: 1107:meibomian gland 1053:Ciclosporin is 1051: 1038: 976:kidney problems 945:Crohn's disease 911:, also spelled 897: 895: 892:(what is this?) 889: 884: 881: 876: 871: 870: 859: 856: 851: 850: 839: 812: 810: 800: 794: 788: 782: 743: 719: 711: 683: 663: 643: 623: 603: 583: 563: 543: 526: 518: 498: 495: 450: 449: 415: 389:Bioavailability 381:Pharmacokinetic 375: 356: 293: 246:(IV), eye drops 234: 227: 208: 201: 70: 66: 28: 21:cyclobenzaprine 17: 12: 11: 5: 6743: 6741: 6733: 6732: 6727: 6722: 6717: 6712: 6707: 6702: 6697: 6692: 6687: 6682: 6677: 6667: 6666: 6662: 6661: 6638: 6637: 6635: 6634: 6629: 6624: 6619: 6614: 6609: 6604: 6599: 6594: 6589: 6584: 6579: 6574: 6569: 6564: 6559: 6554: 6549: 6544: 6539: 6534: 6529: 6524: 6519: 6514: 6509: 6504: 6499: 6494: 6491:+hyaluronidase 6484: 6479: 6474: 6472:Deuruxolitinib 6469: 6464: 6459: 6454: 6449: 6444: 6439: 6434: 6429: 6424: 6419: 6413: 6411: 6407: 6406: 6403: 6402: 6400: 6399: 6394: 6389: 6384: 6383: 6382: 6377: 6365: 6364: 6363: 6358: 6345: 6343: 6335: 6334: 6331: 6330: 6328: 6327: 6322: 6316: 6314: 6308: 6307: 6304: 6303: 6301: 6300: 6295: 6290: 6285: 6280: 6275: 6270: 6265: 6260: 6255: 6250: 6245: 6240: 6235: 6230: 6225: 6220: 6215: 6210: 6205: 6199: 6197: 6193: 6192: 6190: 6189: 6176: 6175: 6174: 6173: 6168: 6163: 6150: 6149: 6148: 6147: 6135: 6134: 6133: 6121: 6120: 6119: 6114: 6102: 6101: 6100: 6095: 6090: 6078: 6077: 6076: 6065: 6064: 6063: 6062: 6057: 6045: 6044: 6043: 6031: 6030: 6029: 6017: 6016: 6015: 6003: 6002: 6001: 5996: 5984: 5983: 5982: 5977: 5965: 5964: 5963: 5958: 5953: 5948: 5945:+hyaluronidase 5938: 5926: 5925: 5924: 5912: 5911: 5910: 5898: 5897: 5896: 5891: 5886: 5874: 5873: 5872: 5867: 5862: 5857: 5844: 5842: 5836: 5835: 5833: 5832: 5831: 5830: 5817: 5816: 5815: 5814: 5809: 5788: 5787: 5786: 5785: 5772: 5771: 5770: 5769: 5756: 5755: 5754: 5753: 5740: 5739: 5738: 5737: 5724: 5723: 5722: 5721: 5716: 5711: 5706: 5701: 5696: 5691: 5686: 5681: 5676: 5671: 5666: 5661: 5656: 5651: 5646: 5641: 5636: 5631: 5626: 5621: 5616: 5603: 5602: 5601: 5600: 5595: 5590: 5585: 5580: 5575: 5562: 5561: 5560: 5559: 5546: 5544: 5535: 5526: 5517: 5513: 5512: 5509: 5508: 5506: 5505: 5500: 5495: 5490: 5485: 5480: 5474: 5472: 5466: 5465: 5463: 5462: 5456: 5454: 5445: 5439: 5438: 5435: 5434: 5432: 5431: 5430: 5429: 5421:PDE4 inhibitor 5417: 5412: 5407: 5401: 5399: 5393: 5392: 5390: 5389: 5384: 5378: 5377: 5376: 5375: 5370: 5365: 5360: 5339: 5337: 5324: 5323: 5321: 5320: 5319: 5318: 5305: 5304: 5303: 5302: 5297: 5283: 5282: 5281: 5280: 5275: 5262: 5260: 5251: 5245: 5244: 5230: 5228: 5227: 5220: 5213: 5205: 5199: 5198: 5186: 5185:External links 5183: 5180: 5179: 5144: 5092: 5065:(4): 697–709. 5046: 5017:(2): 227–230. 4997: 4935: 4886: 4851: 4808: 4741: 4718: 4682: 4663: 4637: 4593: 4544: 4485: 4455: 4437: 4430: 4397: 4376: 4355: 4332: 4302:(4617): 1273. 4286: 4237: 4194: 4145: 4126:(4): 1075–92. 4109: 4066: 4039:(3): 326–329. 4023: 4012: 3985: 3949: 3900: 3849: 3800: 3791: 3733: 3692: 3657: 3616: 3575: 3557:Medicine Quest 3537: 3498:(10): 688–91. 3455: 3426:(9): 931–938. 3406: 3359: 3310: 3264: 3199: 3170:(10): 3680–7. 3139: 3096: 3038: 2986: 2979: 2953: 2924: 2906: 2885:(5): 334–336. 2865: 2834: 2798:(2): 481–508. 2775: 2754:(26): 1841–5. 2734: 2699: 2678:(5): 495–510. 2658: 2615: 2581: 2556: 2526: 2498: 2470: 2459: 2439: 2379: 2349: 2323: 2306:"Cyclosporine" 2288: 2281: 2250: 2224: 2212:. 25 July 2024 2206:"Vevizye EPAR" 2190: 2160: 2130: 2095: 2060: 2023: 1995: 1965: 1935: 1906: 1865: 1830: 1829: 1827: 1824: 1778: 1777:Veterinary use 1775: 1767: 1756: 1737: 1726: 1710: 1707: 1665: 1662: 1660: 1657: 1612: 1609: 1581: 1578: 1571:(CHMP) of the 1564: 1561: 1559: 1556: 1496: 1493: 1456: 1453: 1344: 1341: 1314: 1311: 1251: 1248: 1246: 1243: 1136: 1133: 1050: 1047: 986:may result in 927:. It is taken 904: 903: 886: 885: 883: 882: 879: 877: 874: 866: 865: 864: 861: 860: 858: 857: 854: 846: 845: 844: 841: 840: 838: 837: 829: 827: 819: 818: 808: 802: 801: 798: 792: 786: 780: 775: 769: 768: 764: 763: 753: 745: 744: 742: 741: 728: 726: 713: 712: 710: 709: 693: 691: 685: 684: 682: 681: 673: 671: 665: 664: 662: 661: 653: 651: 645: 644: 642: 641: 633: 631: 625: 624: 622: 621: 613: 611: 605: 604: 602: 601: 593: 591: 585: 584: 582: 581: 573: 571: 565: 564: 562: 561: 553: 551: 545: 544: 542: 541: 533: 531: 520: 519: 517: 516: 508: 506: 500: 499: 497: 496: 453: 445: 444: 443: 440: 439: 435: 434: 429: 423: 422: 419: 410: 409: 401: 395: 394: 391: 385: 384: 377: 376: 374: 373: 370: 361: 346: 333: 322: 308: 306: 300: 299: 295: 294: 292: 291: 268: 266: 260: 259: 254: 248: 247: 237: 235:administration 229: 228: 226: 225: 223: 213: 211: 203: 202: 200: 199: 181: 179: 173: 172: 165: 159: 158: 151: 141: 140: 128: 124: 123: 120: 114: 113: 64: 60: 59: 55: 54: 46: 45: 15: 13: 10: 9: 6: 4: 3: 2: 6742: 6731: 6728: 6726: 6723: 6721: 6718: 6716: 6713: 6711: 6708: 6706: 6703: 6701: 6698: 6696: 6693: 6691: 6688: 6686: 6683: 6681: 6678: 6676: 6673: 6672: 6670: 6660: 6650: 6646: 6633: 6630: 6628: 6625: 6623: 6622:Tildrakizumab 6620: 6618: 6615: 6613: 6610: 6608: 6605: 6603: 6600: 6598: 6595: 6593: 6590: 6588: 6585: 6583: 6580: 6578: 6575: 6573: 6570: 6568: 6565: 6563: 6560: 6558: 6555: 6553: 6552:Pegcetacoplan 6550: 6548: 6545: 6543: 6540: 6538: 6535: 6533: 6530: 6528: 6525: 6523: 6520: 6518: 6515: 6513: 6510: 6508: 6505: 6503: 6500: 6498: 6495: 6492: 6488: 6485: 6483: 6480: 6478: 6475: 6473: 6470: 6468: 6465: 6463: 6462:Darvadstrocel 6460: 6458: 6455: 6453: 6450: 6448: 6445: 6443: 6440: 6438: 6435: 6433: 6430: 6428: 6425: 6423: 6420: 6418: 6415: 6414: 6412: 6408: 6398: 6395: 6393: 6390: 6388: 6385: 6381: 6378: 6376: 6373: 6372: 6371: 6370: 6369:TNF inhibitor 6366: 6362: 6359: 6357: 6354: 6353: 6352: 6351: 6347: 6346: 6344: 6341: 6336: 6326: 6323: 6321: 6318: 6317: 6315: 6313: 6309: 6299: 6296: 6294: 6291: 6289: 6286: 6284: 6281: 6279: 6276: 6274: 6271: 6269: 6266: 6264: 6261: 6259: 6256: 6254: 6251: 6249: 6246: 6244: 6241: 6239: 6236: 6234: 6231: 6229: 6226: 6224: 6221: 6219: 6216: 6214: 6211: 6209: 6206: 6204: 6201: 6200: 6198: 6194: 6187: 6183: 6182: 6178: 6177: 6172: 6169: 6167: 6164: 6162: 6159: 6158: 6157: 6156: 6152: 6151: 6146: 6143: 6142: 6141: 6140: 6136: 6132: 6129: 6128: 6127: 6126: 6122: 6118: 6115: 6113: 6110: 6109: 6108: 6107: 6103: 6099: 6096: 6094: 6091: 6089: 6086: 6085: 6084: 6083: 6079: 6075: 6072: 6071: 6070: 6067: 6066: 6061: 6058: 6056: 6053: 6052: 6051: 6050: 6046: 6042: 6039: 6038: 6037: 6036: 6035:CD147/Basigin 6032: 6028: 6025: 6024: 6023: 6022: 6018: 6014: 6011: 6010: 6009: 6008: 6004: 6000: 5997: 5995: 5992: 5991: 5990: 5989: 5985: 5981: 5978: 5976: 5973: 5972: 5971: 5970: 5966: 5962: 5959: 5957: 5954: 5952: 5949: 5946: 5942: 5939: 5937: 5934: 5933: 5932: 5931: 5927: 5923: 5920: 5919: 5918: 5917: 5913: 5909: 5906: 5905: 5904: 5903: 5899: 5895: 5892: 5890: 5887: 5885: 5882: 5881: 5880: 5879: 5875: 5871: 5868: 5866: 5863: 5861: 5858: 5856: 5855:Muromonab-CD3 5853: 5852: 5851: 5850: 5846: 5845: 5843: 5837: 5829: 5826: 5825: 5824: 5823: 5819: 5818: 5813: 5810: 5808: 5805: 5804: 5803: 5802: 5798: 5794: 5790: 5789: 5784: 5781: 5780: 5779: 5778: 5774: 5773: 5768: 5765: 5764: 5763: 5762: 5758: 5757: 5752: 5749: 5748: 5747: 5746: 5742: 5741: 5736: 5733: 5732: 5731: 5730: 5729:Interleukin 5 5726: 5725: 5720: 5717: 5715: 5712: 5710: 5709:Tildrakizumab 5707: 5705: 5702: 5700: 5697: 5695: 5692: 5690: 5687: 5685: 5682: 5680: 5677: 5675: 5672: 5670: 5667: 5665: 5662: 5660: 5657: 5655: 5652: 5650: 5647: 5645: 5642: 5640: 5637: 5635: 5632: 5630: 5627: 5625: 5622: 5620: 5617: 5615: 5612: 5611: 5610: 5609: 5605: 5604: 5599: 5596: 5594: 5591: 5589: 5586: 5584: 5581: 5579: 5576: 5574: 5571: 5570: 5569: 5568: 5564: 5563: 5558: 5555: 5554: 5553: 5552: 5548: 5547: 5545: 5543:(noncellular) 5539: 5536: 5534: 5530: 5527: 5525: 5521: 5518: 5516:Extracellular 5514: 5504: 5501: 5499: 5496: 5494: 5491: 5489: 5486: 5484: 5483:Ridaforolimus 5481: 5479: 5476: 5475: 5473: 5471: 5467: 5461: 5458: 5457: 5455: 5453: 5449: 5446: 5442:Intracellular 5440: 5428: 5425: 5424: 5423: 5422: 5418: 5416: 5413: 5411: 5408: 5406: 5403: 5402: 5400: 5398: 5394: 5388: 5385: 5383: 5380: 5379: 5374: 5371: 5369: 5366: 5364: 5361: 5359: 5356: 5355: 5354: 5353: 5349: 5345: 5341: 5340: 5338: 5335: 5329: 5325: 5317: 5314: 5313: 5312: 5311: 5307: 5306: 5301: 5300:Teriflunomide 5298: 5296: 5293: 5292: 5290: 5289: 5285: 5284: 5279: 5276: 5274: 5271: 5270: 5269: 5268: 5264: 5263: 5261: 5259: 5255: 5252: 5248:Intracellular 5246: 5241: 5237: 5233: 5226: 5221: 5219: 5214: 5212: 5207: 5206: 5203: 5196: 5192: 5189: 5188: 5184: 5175: 5171: 5167: 5163: 5160:(1): 153–71. 5159: 5155: 5148: 5145: 5140: 5136: 5131: 5126: 5122: 5118: 5114: 5110: 5106: 5099: 5097: 5093: 5088: 5084: 5080: 5076: 5072: 5068: 5064: 5060: 5053: 5051: 5047: 5042: 5038: 5033: 5028: 5024: 5020: 5016: 5012: 5008: 5001: 4998: 4993: 4989: 4984: 4979: 4974: 4969: 4965: 4961: 4957: 4953: 4949: 4942: 4940: 4936: 4931: 4927: 4922: 4917: 4913: 4909: 4905: 4901: 4897: 4890: 4887: 4882: 4878: 4874: 4870: 4867:(4): 469–71. 4866: 4862: 4855: 4852: 4847: 4843: 4839: 4835: 4831: 4827: 4823: 4819: 4812: 4809: 4793: 4789: 4785: 4780: 4775: 4771: 4767: 4763: 4759: 4752: 4745: 4742: 4737: 4733: 4732:neurovive.com 4729: 4722: 4719: 4714: 4710: 4706: 4702: 4699:(3): 758–64. 4698: 4694: 4686: 4683: 4679: 4675: 4674: 4667: 4664: 4651: 4647: 4641: 4638: 4622: 4618: 4614: 4610: 4603: 4597: 4594: 4589: 4583: 4575: 4571: 4567: 4563: 4559: 4555: 4548: 4545: 4532: 4528: 4524: 4520: 4516: 4512: 4508: 4505:(8): 937–51. 4504: 4500: 4496: 4489: 4486: 4473: 4469: 4465: 4459: 4456: 4452: 4447: 4441: 4438: 4433: 4427: 4423: 4419: 4415: 4414: 4406: 4404: 4402: 4398: 4394: 4390: 4386: 4380: 4377: 4373: 4369: 4365: 4359: 4356: 4351: 4347: 4343: 4336: 4333: 4329: 4325: 4321: 4317: 4313: 4309: 4305: 4301: 4297: 4290: 4287: 4282: 4278: 4273: 4268: 4264: 4260: 4256: 4252: 4248: 4241: 4238: 4233: 4229: 4225: 4221: 4217: 4213: 4209: 4205: 4198: 4195: 4190: 4186: 4182: 4178: 4173: 4168: 4164: 4160: 4156: 4149: 4146: 4141: 4137: 4133: 4129: 4125: 4122:(in German). 4121: 4113: 4110: 4105: 4101: 4097: 4093: 4089: 4085: 4082:(4): 468–75. 4081: 4077: 4070: 4067: 4062: 4058: 4054: 4050: 4046: 4042: 4038: 4034: 4027: 4024: 4019: 4015: 4009: 4005: 4001: 3994: 3992: 3990: 3986: 3981: 3977: 3973: 3969: 3965: 3961: 3953: 3950: 3945: 3941: 3936: 3931: 3927: 3923: 3919: 3915: 3911: 3904: 3901: 3896: 3892: 3887: 3882: 3877: 3872: 3868: 3864: 3863:PLOS Genetics 3860: 3853: 3850: 3845: 3841: 3836: 3831: 3827: 3823: 3819: 3815: 3811: 3804: 3801: 3795: 3792: 3787: 3783: 3779: 3775: 3771: 3767: 3763: 3759: 3756:(4): 285–93. 3755: 3751: 3744: 3737: 3734: 3729: 3725: 3720: 3715: 3712:(4): 2841–6. 3711: 3707: 3703: 3696: 3693: 3688: 3684: 3680: 3676: 3672: 3668: 3661: 3658: 3653: 3649: 3644: 3639: 3635: 3631: 3627: 3620: 3617: 3612: 3608: 3603: 3598: 3594: 3590: 3586: 3579: 3576: 3572: 3571: 3566: 3562: 3558: 3554: 3550: 3547: 3540: 3534: 3530: 3525: 3524: 3513: 3509: 3505: 3501: 3497: 3493: 3485: 3478: 3474: 3471:(12): 433–7. 3470: 3466: 3459: 3456: 3451: 3447: 3442: 3437: 3433: 3429: 3425: 3421: 3417: 3410: 3407: 3402: 3398: 3394: 3390: 3386: 3382: 3378: 3374: 3370: 3363: 3360: 3355: 3351: 3346: 3341: 3337: 3333: 3330:(3): 909–50. 3329: 3325: 3321: 3314: 3311: 3306: 3302: 3297: 3296:11392/2149014 3292: 3288: 3284: 3280: 3276: 3268: 3265: 3249: 3245: 3241: 3237: 3233: 3229: 3225: 3221: 3217: 3210: 3203: 3200: 3195: 3191: 3186: 3181: 3177: 3173: 3169: 3165: 3161: 3154: 3152: 3150: 3148: 3146: 3144: 3140: 3135: 3131: 3127: 3123: 3119: 3115: 3111: 3107: 3100: 3097: 3092: 3088: 3084: 3080: 3075: 3070: 3066: 3062: 3058: 3051: 3049: 3047: 3045: 3043: 3039: 3034: 3030: 3026: 3022: 3019:(4): 1210–5. 3018: 3014: 3007: 3005: 3003: 3001: 2999: 2997: 2995: 2993: 2991: 2987: 2982: 2976: 2972: 2967: 2966: 2957: 2954: 2941: 2937: 2936: 2928: 2925: 2922: 2918: 2915: 2910: 2907: 2902: 2898: 2893: 2888: 2884: 2880: 2876: 2869: 2866: 2861: 2857: 2853: 2849: 2845: 2838: 2835: 2819: 2815: 2811: 2806: 2801: 2797: 2793: 2786: 2779: 2776: 2771: 2767: 2762: 2757: 2753: 2749: 2745: 2738: 2735: 2730: 2726: 2722: 2718: 2714: 2710: 2703: 2700: 2695: 2691: 2686: 2681: 2677: 2673: 2669: 2662: 2659: 2654: 2650: 2646: 2642: 2638: 2634: 2630: 2626: 2619: 2616: 2603: 2599: 2597: 2591: 2585: 2582: 2570: 2566: 2560: 2557: 2544: 2540: 2536: 2530: 2527: 2521: 2516: 2512: 2508: 2502: 2499: 2493: 2488: 2484: 2480: 2474: 2471: 2466: 2462: 2456: 2452: 2451: 2443: 2440: 2424: 2420: 2416: 2412: 2408: 2404: 2400: 2393: 2386: 2384: 2380: 2367: 2363: 2359: 2353: 2350: 2337: 2333: 2327: 2324: 2311: 2307: 2301: 2299: 2297: 2295: 2293: 2289: 2284: 2282:9789241547659 2278: 2273: 2268: 2264: 2260: 2254: 2251: 2238: 2234: 2228: 2225: 2211: 2207: 2201: 2199: 2197: 2195: 2191: 2178: 2174: 2170: 2164: 2161: 2148: 2144: 2140: 2134: 2131: 2118: 2114: 2110: 2104: 2102: 2100: 2096: 2083: 2079: 2075: 2069: 2067: 2065: 2061: 2048: 2044: 2040: 2034: 2032: 2030: 2028: 2024: 2011: 2010: 2009:Health Canada 2005: 1999: 1996: 1983: 1979: 1975: 1969: 1966: 1953: 1949: 1945: 1939: 1936: 1924: 1920: 1916: 1910: 1907: 1902: 1898: 1893: 1888: 1885:(9): 1041–6. 1884: 1880: 1876: 1869: 1866: 1853: 1849: 1845: 1841: 1840:"cyclosporin" 1835: 1832: 1825: 1823: 1821: 1817: 1813: 1809: 1805: 1801: 1797: 1793: 1789: 1784: 1776: 1774: 1748: 1747:cyclophilin D 1743: 1719: 1714: 1708: 1706: 1704: 1700: 1696: 1692: 1688: 1684: 1680: 1675: 1672: 1663: 1658: 1656: 1655:dispersions. 1654: 1650: 1646: 1642: 1638: 1634: 1633:Dexcel Pharma 1630: 1625: 1623: 1622:microemulsion 1619: 1610: 1608: 1606: 1602: 1597: 1595: 1591: 1587: 1579: 1577: 1574: 1570: 1562: 1557: 1555: 1553: 1552:Thomas Starzl 1549: 1547: 1543: 1542:Thomas Starzl 1539: 1535: 1531: 1527: 1522: 1520: 1519: 1514: 1510: 1506: 1502: 1494: 1492: 1490: 1489:Amphichorda ~ 1486: 1484: 1478: 1472: 1466: 1461: 1454: 1452: 1450: 1446: 1442: 1438: 1434: 1430: 1426: 1422: 1418: 1414: 1410: 1406: 1402: 1398: 1394: 1390: 1386: 1382: 1378: 1374: 1370: 1366: 1362: 1358: 1349: 1342: 1340: 1336: 1334: 1327: 1323: 1320: 1312: 1310: 1306: 1304: 1299: 1297: 1293: 1289: 1285: 1281: 1280:interleukin 2 1277: 1273: 1269: 1265: 1261: 1257: 1249: 1244: 1242: 1240: 1236: 1232: 1227: 1225: 1221: 1216: 1214: 1210: 1206: 1202: 1198: 1194: 1190: 1186: 1182: 1178: 1174: 1170: 1166: 1162: 1158: 1154: 1150: 1149:peptic ulcers 1146: 1142: 1134: 1132: 1130: 1126: 1121: 1119: 1115: 1110: 1109:dysfunction. 1108: 1104: 1100: 1097:for treating 1096: 1092: 1088: 1085:, persistent 1084: 1080: 1076: 1072: 1068: 1064: 1060: 1056: 1048: 1046: 1044: 1036: 1032: 1031: 1027: 1022: 1020: 1019:T-lymphocytes 1016: 1012: 1008: 1005:to block the 1004: 1000: 995: 993: 992:birth defects 989: 988:preterm birth 985: 981: 977: 972: 970: 966: 962: 958: 954: 950: 946: 942: 938: 934: 933:intravenously 930: 926: 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1083:psoriasis 1055:indicated 984:pregnancy 965:eye drops 961:rejection 955:, and in 941:psoriasis 678:ChEMBL160 432:Bile duct 427:Excretion 416:half-life 233:Routes of 207:Pregnancy 155:Monograph 149:Drugs.com 6659:Medicine 6542:Ozanimod 6417:Avacopan 6410:Unsorted 6196:Unsorted 6106:Integrin 5839:Cellular 5614:Anakinra 5460:Anakinra 5382:Abetimus 5234: / 5174:23182330 5139:24341787 5087:10904494 5079:10756124 5041:20798784 4930:21142667 4846:25190221 4838:10686082 4792:Archived 4788:23179472 4736:Archived 4713:18656538 4650:Archived 4621:Archived 4617:Novartis 4602:"Neoral" 4531:Archived 4527:28468973 4519:22663249 4451:avoided. 4389:Archived 4368:Archived 4350:Archived 4324:17776314 4232:10731038 4189:24662504 4181:11584691 4061:39502677 4053:23331048 4018:Archived 3980:23219598 3944:29396588 3895:23818858 3844:30279281 3786:33075098 3778:11685373 3687:25497210 3561:mycology 3549:Archived 3512:15896681 3477:12422576 3450:18724379 3401:35867347 3393:16086641 3354:24987008 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