Indications:
Rapamune (sirolimus) is indicated for the prophylaxis of organ rejection in patients receiving renal transplants.
In patients at low to moderate immunologic risk, it is recommended that Rapamune be used initially in a regimen with cyclosporine and corticosteroids.
Cyclosporine should be withdrawn 2 to 4 months after transplantation and the Rapamune dose should be increased to reach recommended blood concentrations (see Section 4.2. Posology and method of administration). Cyclosporine withdrawal has not been studied in patients with Banff 93 Grade III acute rejection or vascular rejection prior to cyclosporine withdrawal, those who are dialysis-dependent, or with serum creatinine >4.5 mg/dL, Black patients, re-transplants, multi-organ transplants, or patients with high-panel reactive antibodies (see Section 5. PHARMACOLOGICAL PROPERTIES - Clinical trials data on efficacy).
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