GNH USA

Europe — EMA

Ikervis

GNH USA supplies Ikervis (ciclosporin), a calcineurin inhibitor for dry eye disease and keratoconjunctivitis sicca. Request a quote for worldwide 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 effects in patients with ocular surface inflammation where conventional lubricants are insufficient.

GNH USA supplies Ikervis as a licensed, Good Distribution Practice‑compliant international pharmaceutical supplier, delivering the product to hospitals, pharmacies and clinics worldwide. The company ensures regulatory conformity, quality assurance and reliable logistics for bulk and unit‑dose shipments across multiple markets.

What is Ciclosporin used for?

Ikervis, a calcineurin inhibitor, is used to manage ocular surface inflammatory conditions. - Dry eye disease: reduces ocular surface inflammation, enhances tear film stability, and alleviates discomfort in patients with moderate to severe disease. - Keratoconjunctivitis sicca: decreases immune‑mediated damage to the cornea and conjunctiva, improving visual comfort and reducing redness. - Chronic ocular surface inflammation: provides targeted immunosuppression to control persistent inflammatory processes when conventional lubricants are inadequate.

What are the side effects of Ciclosporin?

Ikervis may cause ocular and systemic adverse reactions, most of which are mild and reversible.

Common Side Effects: - Burning sensation: transient irritation upon instillation, usually lasting seconds to minutes. - Stinging or itching: mild discomfort that usually resolves without intervention. - Redness: mild conjunctival hyperemia that improves with continued use. - Blurred vision: temporary visual disturbance after dosing that clears quickly.

Serious or Rare Side Effects: - Ocular infection: signs of bacterial or fungal keratitis requiring prompt evaluation. - Persistent epithelial defect: delayed corneal healing that may need specialist care. - Elevated intraocular pressure: may require monitoring and possible treatment.

What precautions apply to Ciclosporin?

Before prescribing Ikervis, clinicians should consider several precautionary measures to ensure safe use. - Assess severity: evaluate the degree of dry eye disease and prior response to lubricants. - Monitor ocular health: perform regular slit‑lamp examinations for signs of infection or epithelial damage. - Avoid concurrent steroids: limit use of topical corticosteroids unless medically necessary. - Pregnancy and lactation: use only if potential benefit outweighs unknown risks. - Contact lens wear: discontinue lenses during treatment and resume only after ocular surface stabilizes. - Store at room temperature: keep below 25°C in the original container, protect from moisture and light.

What does Ciclosporin interact with?

Ikervis can interact with other ophthalmic agents and systemic medications that affect immune function.

Major Interactions (Avoid): - Systemic immunosuppressants: concurrent use may increase risk of systemic immunosuppression. - Topical corticosteroids: combined therapy can heighten infection risk on the ocular surface.

Moderate Interactions (Monitor Closely): - Antifungal eye drops: may reduce efficacy of ciclosporin. - Beta‑blocker eye drops: monitor intraocular pressure changes. - NSAID eye preparations: watch for additive irritation.

Frequently asked questions

What is Ikervis used for?+
Ikervis is a prescription ophthalmic emulsion that contains ciclosporin. It is approved for the treatment of dry eye disease and keratoconjunctivitis sicca, conditions characterized by chronic ocular surface inflammation where standard lubricants are insufficient.
How does ciclosporin work in Ikervis?+
Ciclosporin binds to the intracellular protein cyclophilin in T‑lymphocytes, forming a complex that inhibits the enzyme calcineurin. This blocks the activation of nuclear factor of activated T‑cells, reducing interleukin‑2 production and subsequent T‑cell activation, thereby dampening ocular surface 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 patient’s condition. Typically, one drop is instilled in each affected eye once daily, but the exact frequency and duration are individualized.
Is Ikervis safe during pregnancy or breastfeeding?+
Safety data for ciclosporin ophthalmic use in pregnancy and lactation are limited. The product should be used only if the potential therapeutic benefit justifies any potential risk to the fetus or infant, and the decision should be made in consultation with a healthcare professional.
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 and any necessary import documentation.
How does Ikervis compare with other dry‑eye treatments?+
The main alternative class is the LFA‑1 antagonist lifitegrast (Xiidra). While both target ocular surface inflammation, ciclosporin (Ikervis) acts by inhibiting calcineurin and T‑cell activation, whereas lifitegrast blocks the interaction between LFA‑1 and ICAM‑1. Clinical choice depends on patient response, tolerability and physician preference.
How should Ikervis be stored and handled?+
Ikervis should be stored at room temperature, below 25 °C, in its original container. Protect the emulsion from moisture and direct light. Do not freeze the product, and keep the cap tightly closed when not in use.
How is Ikervis administered?+
Ikervis is applied as an eye drop. The patient should wash their hands, tilt the head back, pull down the lower eyelid, and instill one drop into the conjunctival sac of each affected eye. Avoid touching the tip of the bottle to the eye or any surface.
What are the most serious risks associated with Ikervis?+
Serious adverse events include ocular infection (bacterial or fungal keratitis), persistent epithelial defects that delay corneal healing, and elevated intraocular pressure that may require monitoring or treatment. Any signs of infection or worsening vision should prompt immediate medical evaluation.
Who should not use Ikervis?+
Ikervis is contraindicated in patients with known hypersensitivity to ciclosporin or any component of the formulation. Caution is also advised for individuals with active ocular infections, uncontrolled glaucoma, or those who are unable to comply with regular ophthalmic monitoring.
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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