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 (topical) use. It treats dry eye disease and keratoconjunctivitis sicca by modulating immune‑mediated inflammation on the ocular surface. It is indicated for patients with chronic ocular surface disease.

GNH USA supplies Ikervis as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, providing reliable sourcing, regulatory support and consistent quality for ophthalmic therapeutics and tailored logistics solutions across multiple regions.

What is Ciclosporin used for?

Ikervis (ciclosporin) 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: suppresses T‑cell mediated inflammation and alleviates patient discomfort. - Inflammatory ocular surface disease: provides immunosuppressive effect to control chronic inflammation.

What are the side effects of Ciclosporin?

Ikervis may cause ocular and systemic adverse reactions, most of which are mild and localized to the eye.

Common Side Effects: - Burning sensation: transient discomfort upon instillation. - Stinging: mild irritation that usually resolves quickly. - Redness: mild conjunctival hyperemia after use.

Serious or Rare Side Effects: - Eye infection: increased risk of bacterial or fungal keratitis. - Corneal ulceration: rare but serious epithelial breakdown. - Elevated intraocular pressure: may require monitoring and treatment.

What precautions apply to Ciclosporin?

When prescribing Ikervis, clinicians should observe several precautionary measures to ensure safe use. - Monitor ocular surface: assess inflammation and symptom improvement regularly. - Avoid use in active ocular infection: may exacerbate infection risk. - Assess intraocular pressure: periodic checks recommended during therapy. - Do not combine with other topical immunosuppressants without supervision: risk of excessive immunosuppression. - Store at room temperature: keep in the original container, protect from light and moisture.

What does Ciclosporin interact with?

Ciclosporin ophthalmic emulsion can interact with systemic and ocular agents; awareness of these interactions helps prevent adverse outcomes.

Major Interactions (Avoid): - Systemic cyclosporine: concurrent use may increase systemic immunosuppression. - Potent CYP3A4 inhibitors (e.g., ketoconazole): may raise systemic exposure if absorbed. - Live ocular vaccines: risk of infection due to immunosuppression.

Moderate Interactions (Monitor Closely): - Topical corticosteroids: additive immunosuppressive effect may increase infection risk. - Anticholinergic eye drops: may affect tear production and drug tolerance. - Contact lens wear: lenses can alter drug distribution and increase irritation.

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. By modulating immune‑mediated inflammation on the ocular surface, it helps improve tear film stability, reduce discomfort and protect the cornea in patients with chronic ocular surface disorders.
How does ciclosporin work in Ikervis?+
Ciclosporin binds cyclophilin inside ocular surface cells, forming a complex that inhibits calcineurin. This prevents activation of NF‑AT and reduces transcription of pro‑inflammatory cytokines such as interleukin‑2 and interferon‑γ. The resulting suppression of T‑cell activity diminishes ocular surface inflammation, leading to symptom relief in dry eye conditions.
What is the usual dose of Ikervis?+
The prescribed dose of Ikervis is determined by the treating ophthalmologist based on the severity of the condition and individual patient response. Typically, one drop is instilled into the affected eye(s) once daily, but the exact frequency and duration are set by the prescriber and may be adjusted during follow‑up visits.
Is Ikervis safe during pregnancy or breastfeeding?+
The safety of ciclosporin ophthalmic emulsion in pregnancy and lactation has not been definitively established, and the product is classified with an unknown pregnancy category. Healthcare providers should weigh potential benefits against possible risks, and use Ikervis only if clearly needed. Breastfeeding mothers should consult their physician before initiating therapy.
How do I order Ikervis from GNH USA?+
To request 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 other dry eye treatments?+
Unlike artificial tears that provide symptomatic lubrication, Ikervis delivers an immunomodulatory effect by targeting T‑cell‑mediated inflammation. Compared with other calcineurin inhibitors such as Restasis (cyclosporine ophthalmic emulsion 0.05%), Ikervis contains a higher concentration (0.1%) and is formulated as an oil‑in‑water emulsion, which may improve ocular surface residence time and efficacy in moderate to severe cases.
How should Ikervis be stored and handled?+
Ikervis should be stored at room temperature, preferably below 25 °C, in its original packaging to protect it from light and moisture. Do not freeze the emulsion. Before use, gently invert the bottle to mix the contents, and avoid contaminating the dropper tip. Keep the container tightly closed when not in use.
How is Ikervis administered?+
Ikervis is applied as a single drop to the conjunctival sac of the affected eye(s) using the supplied dropper. The patient should wash their hands before instillation, tilt the head back, pull down the lower eyelid, and place the drop without touching the eye or lashes. The recommended frequency is set by the prescribing ophthalmologist.
What are the most serious risks to watch for with Ikervis?+
Although uncommon, serious adverse events can include ocular infection, corneal ulceration and a rise in intra‑ocular pressure. Patients should be instructed to report any sudden pain, vision changes, persistent redness, or signs of infection promptly. Regular monitoring by an eye‑care professional helps detect and manage these risks early.
Who should not use Ikervis?+
Ikervis is contraindicated in patients with known hypersensitivity to ciclosporin or any component of the emulsion. It should also be avoided in individuals with active ocular infections, uncontrolled glaucoma, or those who are currently receiving systemic immunosuppressive therapy without medical supervision. A qualified ophthalmologist must evaluate suitability before initiating treatment.
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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