GNH USA

Europe — EMA

Ikervis

GNH USA supplies Ikervis (ciclosporin), a calcineurin inhibitor for dry eye disease and keratoconjunctivitis sicca. Request a quote for global supply.

Ciclosporin

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What is Ciclosporin?

Ciclosporin, the active ingredient in Ikervis, is a calcineurin inhibitor presented as a 0.1% w/v ophthalmic emulsion for ocular use. It is indicated for the treatment of dry eye disease and keratoconjunctivitis sicca, providing anti‑inflammatory activity on the ocular surface in adult patients.

GNH USA supplies Ikervis as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, ensuring consistent quality and regulatory compliance across global markets.

What is Ciclosporin used for?

Ikervis (ciclosporin ophthalmic emulsion) is used to manage ocular surface inflammation associated with dry eye disease and related conditions. - Dry eye disease: reduces ocular surface inflammation and improves tear film stability. - Keratoconjunctivitis sicca: decreases inflammatory cytokine production, relieving discomfort and visual disturbance. - Inflammatory ocular surface disease: mitigates signs of inflammation, supporting corneal health and patient comfort.

What are the side effects of Ciclosporin?

Ikervis may cause ocular and systemic adverse reactions; reported events vary in frequency and severity.

Common Side Effects: - Burning sensation: transient discomfort upon instillation. - Stinging or itching: mild irritation that usually resolves. - Redness of the eye: conjunctival hyperemia. - Blurred vision: temporary visual disturbance after dosing. - Eye discharge: mild tearing or mucus. - Foreign body sensation: feeling of grit in the eye.

Serious or Rare Side Effects: - Corneal ulceration: ulcer formation requiring immediate medical attention. - Persistent intraocular inflammation: ongoing inflammation that may threaten vision. - Vision loss: rare but severe decrease in visual acuity. - Allergic reaction: swelling, rash, or systemic hypersensitivity.

What precautions apply to Ciclosporin?

When prescribing Ikervis, clinicians should observe the following precautions to ensure safe use. - Hypersensitivity: avoid use in patients with known allergy to ciclosporin or any excipient. - Ocular infection: do not initiate treatment if active bacterial, viral or fungal eye infection is present. - Intraocular pressure: monitor pressure periodically, especially in glaucoma patients. - Contact lens wear: advise patients to remove lenses before instillation and wait before reinserting. - Persistent irritation: discontinue if severe burning or redness persists beyond a few days. - Store at room temperature: keep in the original container, protect from light and moisture.

What does Ciclosporin interact with?

Ikervis can interact with other ophthalmic or systemic agents; awareness of these interactions helps minimize risk.

Major Interactions (Avoid): - Systemic ciclosporin: concurrent use may increase systemic immunosuppression. - Live vaccines: immunosuppression can reduce vaccine efficacy and increase infection risk. - Other ocular immunosuppressants: combined therapy may heighten risk of ocular infection.

Moderate Interactions (Monitor Closely): - Topical non‑steroidal anti‑inflammatory drugs (NSAIDs): may increase ocular irritation. - Anticholinergic eye drops: could affect tear production and drug distribution. - Contact lens wear: lenses may retain drug, altering exposure and comfort.

Frequently asked questions

What is Ikervis used for?+
Ikervis is a prescription ophthalmic emulsion containing ciclosporin that is indicated for the treatment of dry eye disease and keratoconjunctivitis sicca. It works by reducing ocular surface inflammation, helping to improve tear film stability and relieve symptoms such as irritation, redness, and visual discomfort.
How does ciclosporin work in Ikervis?+
Ciclosporin in Ikervis binds to cyclophilin inside ocular cells, forming a complex that inhibits calcineurin. This inhibition blocks the activation of T‑cells and the subsequent release of inflammatory cytokines, resulting in a localized anti‑inflammatory effect on the eye surface and reduction of ocular inflammation.
What is the usual dose of Ikervis?+
The dosing regimen for Ikervis is determined by the prescribing clinician based on the severity of the condition and patient response. Typically, one drop is instilled in the affected eye(s) once daily, but the exact frequency and duration are individualized and should follow the prescriber’s instructions.
Is Ikervis safe during pregnancy or breastfeeding?+
The safety of Ikervis in pregnancy or while breastfeeding has not been definitively established. Because systemic absorption is possible, clinicians usually weigh potential benefits against unknown risks and may advise discontinuation unless the therapeutic advantage justifies continued use. Consultation with a healthcare professional is essential.
How do I order Ikervis from GNH USA?+
To order Ikervis, submit an enquiry on the product page at gnh-usa.com, specifying the required quantity. GNH USA works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any cold‑chain requirements) and the necessary import documentation.
How does Ikervis compare with the main alternative drug or class?+
The primary alternative to Ikervis is lifitegrast (Xiidra), another prescription eye drop for dry eye disease. While both target ocular inflammation, lifitegrast blocks the LFA‑1/ICAM‑1 interaction, whereas Ikervis uses a calcineurin‑inhibiting mechanism. Clinical choice often depends on patient tolerance, response, and physician preference.
How should Ikervis be stored and handled?+
Ikervis should be stored at room temperature, below 25 °C, in its original packaging. Protect the emulsion from direct light and moisture, and keep the container tightly closed when not in use. Do not freeze the product, and discard any solution that appears discolored or contains particles.
How is Ikervis administered?+
Before instillation, wash hands thoroughly and avoid contaminating the dropper tip. Tilt the head back, gently pull down the lower eyelid, and place one drop into the conjunctival sac. Close the eye for a few seconds without blinking, then gently press the inner corner of the eye to reduce systemic absorption. Repeat for the other eye if prescribed.
What are the most serious risks to watch for while using Ikervis?+
Serious adverse events, although rare, include corneal ulceration, persistent intraocular inflammation, significant vision loss, and systemic allergic reactions such as swelling or rash. Patients should seek immediate medical attention if they notice worsening eye pain, sudden loss of vision, or signs of a severe allergic response.
Who should not use Ikervis?+
Ikervis should not be used by individuals with a known hypersensitivity to ciclosporin or any of the formulation’s excipients. It is also contraindicated in eyes with active bacterial, viral, or fungal infections until the infection is adequately treated, and caution is advised in patients with uncontrolled glaucoma or severe ocular surface disease.
Information provided on this page is for educational use by procurement and clinical professionals. Always consult a licensed healthcare provider for medical advice and prescribing decisions. GNH USA supplies this product subject to applicable regulatory and licensing requirements.

Product details

Drug
Ciclosporin
Route
Ocular Use
Manufacturer
Santen Oy
Origin
EU

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