UK Clinical Pharmacy Association

Ciclosporin (Anti-transplant Rejection)

Issues for surgery

For suppression of transplant rejection – risk of rejection if omitted.

For rheumatology, dermatology and inflammatory bowel disease (IBD) conditions – risk of perioperative flare in disease activity if omitted (see Ciclosporin (Rheumatology, Dermatology and Gastroenterology) drug monograph).

Risk of post-operative infection if continued (see Further information).

Advice in the perioperative period

Elective surgery 

Continue – the patient’s relevant specialist should be involved in the planning for surgery.

Emergency surgery 

Continue – inform the patient’s relevant specialist at the earliest opportunity.

Post-operative advice

Restart treatment in the immediate post-operative period when next dose due. If the patient cannot take their usual oral medication post-operatively, their relevant specialist must be consulted for advice on an alternative medication, dose, route and frequency.

Monitor for signs of infection.

Monitor renal function and electrolytes. If renal function deteriorates post-operatively, the patient’s specialist should be consulted.

Due to the nature of these agents and the potential interactions that can occur, consult product literature prior to starting any medicines in the post-operative period.

Interactions with common anaesthetic agents

See Ciclosporin (Rheumatology, Dermatology and Gastroenterology) drug monograph

Interactions with other common medicines used in the perioperative period

See Ciclosporin (Rheumatology, Dermatology and Gastroenterology) drug monograph

Non-steroidal anti-inflammatory drugs (NSAIDs)

NSAIDs should be avoided due to the risk of adverse interactions (including nephrotoxicity).

Further information

Infection risk

Patients treated with immunosuppressants are at increased risk of opportunistic infections, fatal infections and sepsis. Patients should be monitored for neutropenia. Patients may not present with the typical signs and symptoms of infections (i.e. fever, leucocytosis). Microbiology advice may need to be sought when infections develop.

Plasma level monitoring

Plasma levels of ciclosporin must be kept within the indicated therapeutic range. The perioperative fluctuation of the plasma level of these two drugs should be strictly monitored. There is significant reduction of drug blood level by dilution with volume infusion or cardiopulmonary bypass in cardiac surgery.

References

Joint Formulary Committee. British National Formulary (online) London: BMJ Group and Pharmaceutical Press. http://www.medicinescomplete.com [Accessed on 12th March 2019]

Baxter K, Preston CL (eds), Stockley’s Drug Interactions (online) London: Pharmaceutical Press. http://www.medicinescomplete.com [Accessed on 7th April 2019]

Tacrolimus. In: Brayfield A (Ed), Martindale: The Complete Drug Reference. London: The Royal Pharmaceutical Society of Great Britain. http://www.medicinescomplete.com [Accessed 30th March 2019]

Brusich KT, Acan I. Anesthetic Considerations in Transplant Recipients for Nontransplant Surgery. Organ Donation and Transplantation – Current Status and Future Challenges. 2018. Accessed via www.intechopen.com 08/08/19