• Prophylaxis of kidney transplant rejection:
    • >35kg: IV 20mg within 2 hours prior to transplant surgery then IV 20mg 4 days after transplant
    • <35kg: IV 10mg within 2 hours prior to transplant surgery then IV 10mg 4 days after transplant
      • Withhold 2nd dose if complications such as severe hypersensitivity or graft loss occur after first dose
      • Used in regimen containing cyclosporine and corticosteroids

Injection: 20mg

  • For central or intravenous administration only
  • Infuse over 20-30 min

Monoclonal antibody; Immunosuppressant

It binds to activated T-lymphocyte IL-2 receptor alpha chains thereby antagonizing IL-2

  • Constipation
  • Nausea & Vomiting
  • Abdominal pain
  • Diarrhea
  • Dyspepsia
  • Pain
  • Peripheral edema
  • Fever
  • Viral infection
  • Hypokalemia
  • Hyperkalemia
  • Hyperglycemia
  • Hypercholesterolemia
  • Hypophosphatemia
  • Hyperuricemia
  • UTI
  • Dyspnea
  • URI
  • Acne
  • Hypertension
  • Headache
  • Tremor
  • Insomnia

Anemia

  • Hypersensitivity to class/compound
  • It should only be prescribed by physicians who have experience with immunosuppression in organ transplant recipients
  • Upadacitinib
  • Live bacterial vaccines

                          Drug Status

Availability Prescription only
Pregnancy Category B; Can be used
Breastfeeding Unknown; Weigh risk vs benefit
Schedule Not controlled
BRAND NAME STRENGTH FORMULATION PACK SIZE MANUFACTURER DISTRIBUTOR
Simulect 20mg Injection 1’s Novartis Pharma Novartis Kenya