The primary use of Sirolimus is to prevent organ rejection in patients who have undergone kidney transplants. It belongs to a group of medicines known as mTOR inhibitors.
Secondary uses of this medicine include the management of lymphangioleiomyomatosis (LAM), a rare lung disease.
Peripheral swelling
High blood pressure
High cholesterol
High triglyceride levels
Anaemia
Sirolimus is an immunosuppressant medicine.
It works by restraining a protein called mammalian target of rapamycin (mTOR). This protein plays a key role in the division and growth of cells, including certain immune cells like T-cells and B-cells.
Doctor of Medicine
BMS, FMC, MD Resident
Sirolimus is available as an oral tablet and an oral solution that is to be taken by mouth.
Sirolimus is primarily used for adults of age above 18 years.
Sirolimus is contraindicated in patients with known hypersensitivity to Sirolimus or any of its components.
Sirolimus may interact with several medications, including antifungal medicines (such as ketoconazole), immunosuppressants (like cyclosporine or tacrolimus), antibiotics (such as erythromycin), and calcium channel blockers (like diltiazem or verapamil).
An overdose of Sirolimus may lead to symptoms like irregular heartbeat, dizziness, fainting, or seizures. If you observe these symptoms, consult your doctor immediately.
If you miss a dose, take it as soon as you remember. If it is close to the time for your next dose, skip the missed dose and go back to your normal time. Do not take 2 doses at the same time or extra doses.
Most side effects of Sirolimus are temporary and resolve when discontinuing this medicine. However, if you experience any severe side effects or worsening of any of the symptoms, please consult your doctor.
Drinking plenty of water can help manage some of the gastrointestinal side effects such as diarrhoea and constipation.
For skin-related side effects like acne or rash, keeping your skin clean can be beneficial.
Sirolimus may cause dizziness or sleepiness in some individuals. Therefore, it is advised to avoid driving or operating heavy machinery until you know how the medication affects you.
Sirolimus is classified as Pregnancy Category C. It should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.
The excretion of Sirolimus in human milk is unknown, hence breastfeeding should be avoided during treatment.
Patients with kidney dysfunction or hepatic impairment should exercise caution when taking Sirolimus. Regular monitoring is advised for these patients.
Use of Sirolimus might increase the risk of infections, lymphoma, and other malignancies. People with a history of these conditions should use this medicine with caution.
Adhering to a balanced diet low in saturated fats can help manage hyperlipidemia and hypertriglyceridemia.
Regular check-ups and routine blood tests can help monitor the efficacy of the medicine and manage any side effects promptly.
It is important to maintain good hygiene, especially hand hygiene, to reduce the risk of infections due to suppressed immune response.
Frequently asked questions
No, Sirolimus is not a steroid. It is an immunosuppressive medication typically used to prevent organ rejection after kidney transplants.
Sirolimus is not directly associated with affecting sleep. However, any changes in sleep patterns or disturbances should be discussed with your doctor.
Sirolimus is not associated with affecting fertility. Nevertheless, if you are planning to conceive, it is best to discuss this with your doctor.
Yes, Sirolimus is usually prescribed for daily use to prevent organ rejection in kidney transplant patients. However, it should be taken exactly as directed by your doctor.
Sirolimus starts working soon after you take it, but the exact time may vary between individuals. Regular monitoring of blood levels will be done to ensure the effectiveness of the medicine.
Sirolimus should be taken at the same time each day, either with or without food, as per your doctor's instructions.
Sirolimus is not associated with affecting mood changes. If you experience any unusual emotional or behavioural symptoms while taking this medicine, consult your doctor.
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