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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Taking Cyclosporine Long-term For Itching Bumps. Worried About Side Effects

I've been taking cyclosporine 100 mg daily for five years which was recommended by a dermatologist here in Miami and also up at the Mayo Clinic in Rochester.MN. It's the only thing that alleviates my psoriasis ie multiple itching bumps. I have a "renegade T cell problem" and this anti-immune drug is the only thing that helps. My kidneys and liver readings are OK, but I worry re: side effects. I've tried to stop the drug and hope that the body somehow "fixes itself, but the longest I've been able to go is about a week without taking the cyclosporine. I'm 77....6ft....183 pounds
Tue, 9 Jul 2013
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General & Family Physician,  's  Response
Hi,
You are taking cyclosporines since last 5 years. its good , your kidney &liver reports are normal. I would suggest to have compleate physical & pathological screening periodiclly to be sure of abscence of rareer side effects.
secondly psoriasis is a autoimmune disease which causes achronic skin problem. It can get instigated by....
*Stress & anxity PL try to be calposed & positive to control this factor. Pranayama with meditation, keeping nbussy in enjoyable hobbies may be tried.
*Exposure to sunlight( to be avoided)
*Infections &cuts to skin (to be avoided)
*Smoaking & alkohol (to be avoided)
Pl. be aware to avoid the flaring factors.
take regular health check ups
Take cyclosporin as per advice. try to reduce the dose by positive approach.
Take immediate Doctors advice in case of any health problem.
Thank you.
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General & Family Physician,  Dr. Lohit K's  Response
Hi, Thanks for using HCM.
Cyclosporin is an immunosupressant drug comes under calcineurin inhibitor. It is not curative for psoriasis. So if you stop relapse occurs. Dose you are using is 100 mg so the adverse effects are milder. Since it alleviates your problem and is effective, you should be aware of its possible side effects and drug interactions to avoid those drugs like aminoglycoside antibiotics, NSAIDS etc. Keep looking your renal and hepatic function tests as these are the major limitations. If any abnormal then consult your doctor. Also keep monitoring BP, sugar levels. Consult your doctor for further management.
Hope I answered your question. Feel free to ask me if you have any further queries.
Wish you good health. Take care.

Regards
Dr. Lohit
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Taking Cyclosporine Long-term For Itching Bumps. Worried About Side Effects

Hi, You are taking cyclosporines since last 5 years. its good , your kidney &liver reports are normal. I would suggest to have compleate physical & pathological screening periodiclly to be sure of abscence of rareer side effects. secondly psoriasis is a autoimmune disease which causes achronic skin problem. It can get instigated by.... *Stress & anxity PL try to be calposed & positive to control this factor. Pranayama with meditation, keeping nbussy in enjoyable hobbies may be tried. *Exposure to sunlight( to be avoided) *Infections &cuts to skin (to be avoided) *Smoaking & alkohol (to be avoided) Pl. be aware to avoid the flaring factors. take regular health check ups Take cyclosporin as per advice. try to reduce the dose by positive approach. Take immediate Doctors advice in case of any health problem. Thank you.