Pangraf 0.5 Capsule (Tacrolimus 0.5 mg): Complete Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Fever, chills, or sore throat
- Severe headache, confusion, or seizures
- Decreased urine output or swelling
- Chest pain or difficulty breathing
- Yellowing of skin or eyes
- Severe abdominal pain
- Unusual bruising or bleeding
- Sudden vision changes
If experiencing severe symptoms, call emergency services immediately.
What is Taclicept 0.5mg Capsule used for?
This medicine contains tacrolimus 0.5 mg, an immunosuppressant used to prevent organ rejection after transplantation and to treat certain autoimmune conditions. It works by inhibiting calcineurin and suppressing T-cell activation. It requires regular blood monitoring and has significant drug interactions.
- Generic Name: Tacrolimus (0.5mg)
- Manufacturer: Lupin Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 Taclicept 0.5mg Capsule के बारे में (Hindi Summary)
उपयोग: यह दवा टैक्रोलिमस 0.5 मिलीग्राम कैप्सूल है, जिसका उपयोग अंग प्रत्यारोपण के बाद अंग अस्वीकृति को रोकने के लिए किया जाता है। यह प्रतिरक्षा प्रणाली को दबाकर काम करती है, जिससे शरीर नए अंग पर हमला नहीं करता। इसका उपयोग कुछ ऑटोइम्यून बीमारियों जैसे एटोपिक डर्मेटाइटिस, रूमेटॉइड आर्थराइटिस और सोरायसिस में भी किया जाता है। यह दवा केवल विशेषज्ञ चिकित्सक की देखरेख में ही लेनी चाहिए। नियमित रक्त परीक्षण आवश्यक हैं। गर्भवती महिलाओं और स्तनपान कराने वाली महिलाओं को यह दवा नहीं लेनी चाहिए।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में सिरदर्द, कंपन, दस्त, मतली, कब्ज, पेट दर्द, अनिद्रा और उच्च रक्तचाप शामिल हैं। कुछ लोगों को हाथ-पैरों में झुनझुनी, रक्त शर्करा में वृद्धि और गुर्दे की समस्या हो सकती है। गंभीर दुष्प्रभावों में गंभीर संक्रमण, कुछ प्रकार के कैंसर, गुर्दे की क्षति, उच्च रक्त पोटेशियम, हृदय समस्याएं और दुर्लभ मस्तिष्क स्थिति शामिल हैं। एलर्जी की प्रतिक्रिया होने पर तुरंत चिकित्सक से संपर्क करें।
सुरक्षा सलाह: इस दवा को अपने चिकित्सक के निर्देशानुसार ही लें। इसे हर दिन एक ही समय पर लें। अंगूर और अंगूर के रस से बचें, क्योंकि इससे दवा का स्तर बढ़ सकता है। अपने सभी चिकित्सकों को बताएं कि आप यह दवा ले रहे हैं। संक्रमण वाले लोगों से दूर रहें और हाथों की स्वच्छता का ध्यान रखें। इस दवा को लेते समय जीवित टीके न लगवाएं। गर्भावस्था से बचने के लिए प्रभावी गर्भनिरोधक उपाय करें। यदि आपको खुराक भूल जाती है, तो याद आते ही ले लें, लेकिन अगली खुराक का समय नजदीक हो तो छोड़ दें। कभी भी दोहरी खुराक न लें। नियमित रक्त परीक्षण कराते रहें।
💊 Taclicept 0.5mg Capsule Uses & Benefits
[{"condition":"Prophylaxis of organ rejection in kidney transplant recipients","description":"This medicine is used to prevent rejection of a transplanted kidney when used with other immunosuppressants.","evidence":"Well-established"},{"condition":"Prophylaxis of organ rejection in liver transplant recipients","description":"This medicine is used to prevent rejection of a transplanted liver when used with other immunosuppressants.","evidence":"Well-established"},{"condition":"Prophylaxis of organ rejection in heart transplant recipients","description":"This medicine is used to prevent rejection of a transplanted heart when used with other immunosuppressants.","evidence":"Well-established"},{"condition":"Moderate-to-severe atopic dermatitis","description":"This medicine is used in patients who have not responded adequately to other treatments, to reduce inflammation and itching.","evidence":"Well-established for topical tacrolimus; oral use is specialist-only and less common."},{"condition":"Rheumatoid arthritis","description":"This medicine may be used in some patients with active rheumatoid arthritis who have not responded to other therapies.","evidence":"Limited"},{"condition":"Psoriasis","description":"This medicine may be used in severe psoriasis under specialist supervision.","evidence":"Limited"}]
Off-label uses: [{"condition":"Lupus nephritis","description":"Sometimes prescribed off-label as part of immunosuppressive therapy for lupus nephritis.","evidence":"Limited"},{"condition":"Myasthenia gravis","description":"Occasionally used off-label in patients with myasthenia gravis who do not respond to standard treatments.","evidence":"Limited"},{"condition":"Inflammatory bowel disease","description":"Rarely used off-label for refractory ulcerative colitis or Crohn's disease.","evidence":"Limited"}]
Primary treatment for: Organ transplantation (prophylaxis of rejection)
Also treats: Atopic dermatitis, Rheumatoid arthritis, Psoriasis, Lupus nephritis, Myasthenia gravis
📋 Drug Information
| Generic Name(s) | Tacrolimus (0.5mg) |
| Brand Name | Taclicept 0.5mg Capsule |
| Manufacturer | Lupin Ltd |
| Packaging / Form | strip of 10 capsules (Allopathy) |
| Therapeutic Class | |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C (59°F and 86°F). Keep away from moisture and heat. Do not refrigerate unless specified by the manufacturer. Keep in the original container to protect from light. Keep out of reach of children. |
| Shelf Life | The shelf life of this medicine is typically 24 months from the date of manufacture. Check the expiration date on the packaging. Do not use after the expiry date. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine binds to the immunophilin protein FKBP-12, forming a complex that inhibits calcineurin, a calcium-dependent phosphatase. Calcineurin inhibition prevents the dephosphorylation and nuclear translocation of nuclear factor of activated T-cells (NFAT), which is required for the transcription of interleukin-2 and other cytokines. This leads to suppression of T-lymphocyte activation and proliferation, thereby reducing immune-mediated rejection of transplanted organs and dampening autoimmune responses.
Mechanism Steps
💡 How to Take Taclicept 0.5mg Capsule
Strength: This medicine is available as an immediate-release capsule containing 0.5 mg of tacrolimus.
Dosage Information
| Adult Dosage | The dose of this medicine must be individualized by a qualified clinician based on the indication, patient's weight, renal and hepatic function, and concomitant medications. For kidney transplant recipients, the usual starting dose is 0.1 to 0.2 mg/kg/day orally, divided into two doses, starting within 24 hours of transplantation. For liver transplant recipients, the usual starting dose is 0.1 to 0.15 mg/kg/day orally, divided into two doses. For heart transplant recipients, the usual starting dose is 0.075 mg/kg/day orally, divided into two doses. Doses are adjusted based on blood levels and clinical response. Never self-adjust the dose. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician or transplant specialist for dosing in children. The dose is individualized based on weight, indication, and clinical response. |
| Elderly Dosage | Elderly patients may be more susceptible to the side effects of this medicine, especially nephrotoxicity and neurotoxicity. Doses should be carefully adjusted based on renal and hepatic function. Regular monitoring is essential. Consult your doctor for personalized dosing. |
| Renal Impairment | This medicine is primarily metabolized by the liver, so renal impairment does not significantly affect its clearance. However, dose adjustment may be necessary in patients with severe renal impairment due to increased risk of nephrotoxicity. Monitor kidney function closely. Consult your doctor for personalized dosing. |
| Hepatic Impairment | Patients with hepatic impairment may have reduced clearance of this medicine, leading to increased blood levels and risk of toxicity. Dose reduction and close monitoring of blood levels are recommended. Consult your doctor for personalized dosing. |
| Maximum Daily Dose | The maximum daily dose of this medicine is individualized based on blood levels and clinical response. There is no fixed maximum daily dose. Doses are adjusted to maintain target trough levels. Never exceed the dose prescribed by your doctor. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of Taclicept 0.5mg Capsule
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Ketoconazole | Major | |
| Rifampin | Major | |
| Cyclosporine | Major | |
| Potassium-sparing diuretics | Major | |
| Live vaccines | Major | |
| Grapefruit juice | Moderate | |
| NSAIDs | Moderate | |
| Statins | Moderate | |
| Calcium channel blockers | Moderate | |
| Antacids | Minor |
🚨 Major Interactions
- Ketoconazole, itraconazole, voriconazole, clarithromycin, erythromycin, HIV protease inhibitors (e.g., ritonavir)
- Rifampin, rifabutin, carbamazepine, phenytoin, phenobarbital, St. John's wort
- Cyclosporine
- Potassium-sparing diuretics (e.g., spironolactone, amiloride), ACE inhibitors, angiotensin receptor blockers
- Live vaccines
⚡ Moderate Interactions
- Grapefruit juice
- Nonsteroidal anti-inflammatory drugs (NSAIDs)
- Corticosteroids
- Statins
- Calcium channel blockers (e.g., diltiazem, verapamil)
🍷 Alcohol Interaction
Alcohol may increase the risk of liver problems and can worsen side effects such as dizziness, drowsiness, and increased blood pressure. It is advisable to avoid or limit alcohol consumption while taking this medicine. Consult your doctor for personalized advice.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity to tacrolimus or any component of the formulation","Known hypersensitivity to macrolide antibiotics (e.g., erythromycin, clarithromycin)","Concomitant use with live vaccines","Concomitant use with cyclosporine","Pregnancy, unless the potential benefit justifies the potential risk","Breastfeeding, unless the benefit outweighs the risk"]
⚠️ Warnings & Precautions
["This medicine should only be prescribed by physicians experienced in immunosuppressive therapy and management of transplant patients.","Regular monitoring of blood levels, kidney function, liver function, and electrolytes is essential.","Avoid grapefruit and grapefruit juice during treatment.","Do not receive live vaccines while taking this medicine.","Use effective contraception during treatment and for a period after discontinuation.","Avoid contact with people who have infections; practice good hand hygiene.","Inform your doctor about all other medicines, including over-the-counter drugs and herbal supplements.","This medicine can cause serious infections and cancers; report any unusual symptoms to your doctor.","Do not stop or change the dose without consulting your doctor.","Store at room temperature away from moisture and heat."]
🤱 Lactation Safety
This medicine is excreted in human breast milk. Because of the potential for serious adverse reactions in nursing infants, a decision should be made whether to discontinue nursing or to discontinue the drug, taking into account the importance of the drug to the mother. Consult your doctor for guidance.
💊 Overdose Management
Overdose of this medicine may cause severe immunosuppression, nephrotoxicity, neurotoxicity, and other serious adverse effects. There is no specific antidote. Treatment is supportive and symptomatic. In case of overdose, seek immediate medical attention. Monitor vital signs, kidney function, liver function, and blood levels of this medicine. Consider gastric lavage if ingestion is recent. Hemodialysis is not effective in removing this medicine from the blood.
⏰ Missed Dose
If you miss a dose of this medicine, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to catch up. If you are unsure, consult your doctor or pharmacist.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor, usually twice daily with or without food, but always at the same times each day. Do not change the dose or stop taking this medicine without consulting your transplant team. Avoid grapefruit and grapefruit juice, as they can increase the level of this medicine in your blood and cause serious side effects. Inform all your healthcare providers, including dentists, that you are taking this medicine. Avoid contact with people who have infections, and practice good hand hygiene. Do not receive live vaccines while taking this medicine. Use effective contraception if you are of childbearing age, as this medicine can harm an unborn baby. If you miss a dose, take it as soon as you remember, but if it is almost time for the next dose, skip the missed dose and continue with your regular schedule. Never double the dose. Keep all laboratory appointments for blood tests to monitor drug levels and organ function. Store this medicine at room temperature away from moisture and heat. Keep out of reach of children.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more susceptible to the side effects of this medicine, especially kidney problems, high blood pressure, and neurotoxicity. Doses should be carefully adjusted based on kidney and liver function. Regular monitoring is essential. Elderly patients should also be monitored for falls and fractures due to the risk of dizziness and tremors.
🤰 Pregnancy Planning (TTC)
This medicine can harm an unborn baby. If you are planning to become pregnant, consult your doctor before conception. Effective contraception should be used during treatment and for a period after discontinuation. Your doctor may switch you to a safer alternative if appropriate. Do not stop the medicine without medical advice.
🏥 Post-Surgery Considerations
After surgery, this medicine is often used to prevent organ rejection in transplant patients. It may also be used in other surgeries requiring immunosuppression. Follow your surgeon's instructions carefully. Monitor for signs of infection, bleeding, or other complications. Regular follow-up is essential.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine before any dental procedure. This medicine increases the risk of infections, so your dentist may prescribe antibiotics before certain procedures. It may also affect wound healing. Maintain good oral hygiene to reduce the risk of infections.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Moderate exercise is generally safe while taking this medicine, but avoid excessive or high-impact activities that could increase the risk of injury or infection. Consult your doctor before starting any new exercise program. If you experience dizziness, shortness of breath, or chest pain during exercise, stop and seek medical attention.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness, tremors, or fatigue, which can affect your ability to drive or operate machinery. Avoid driving or operating heavy machinery until you know how this medicine affects you. It is important to take your doses at the same time each day, which may require planning around your work schedule. Inform your employer about your condition and treatment, especially if you need time off for medical appointments.
🛑 When to Stop This Medicine
Do not stop taking this medicine without consulting your doctor. Stopping suddenly can lead to organ rejection or worsening of your condition. Your doctor will determine when and how to stop the medicine based on your clinical response and blood test results. If you experience serious side effects, contact your doctor immediately; they may adjust the dose or switch to another medicine.
📅 Long-Term Use Effects
Long-term use of this medicine can increase the risk of serious infections, certain cancers (especially lymphoma and skin cancer), kidney damage, and high blood pressure. Regular monitoring of blood levels, kidney function, liver function, and electrolytes is essential. Your doctor may adjust the dose or add other medications to manage side effects. Long-term use also requires monitoring for diabetes and high cholesterol. Never stop the medicine without medical advice.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Another calcineurin inhibitor that can be used as an alternative in some patients.
Evidence: Well-establishedAn mTOR inhibitor that may be used in combination or as an alternative.
Evidence: Well-establishedAn antimetabolite immunosuppressant that can be used in combination with calcineurin inhibitors.
Evidence: Well-establishedFor autoimmune conditions, biologics such as dupilumab may be alternatives.
Evidence: Well-established for atopic dermatitis💉 Vaccination Considerations
💉 If You're Getting Vaccinated
Live vaccines should be avoided while taking this medicine due to the risk of vaccine-related infections. Inactivated vaccines may be given, but the immune response may be reduced. Consult your doctor before receiving any vaccine. It is important to be up to date with recommended vaccines before starting immunosuppressive therapy.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✅ DO
Keep out of reach of children
❌ DON'T
Do not use after expiry date
✈️ Traveling with This Medicine
When traveling, carry this medicine in its original packaging with a copy of your prescription. Keep it in your carry-on luggage to avoid loss or temperature extremes. If you are crossing time zones, consult your doctor about adjusting the timing of your doses. Store at room temperature and avoid extreme heat or cold. Check customs regulations for carrying prescription medicines. Always carry enough supply for your trip and a little extra in case of delays.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: The immunosuppressive effects begin within hours, but the full therapeutic effect for preventing organ rejection develops over days to weeks. For autoimmune conditions, improvement may take several weeks.
A: You can take this medicine with or without food, but it is important to be consistent. Avoid grapefruit and grapefruit juice.
A: If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose.
A: No, you should never stop taking this medicine without consulting your doctor. Stopping suddenly can lead to organ rejection or worsening of your condition.
A: This medicine can harm an unborn baby. It is not recommended during pregnancy unless the potential benefit justifies the risk. Use effective contraception and consult your doctor if you are pregnant or planning to become pregnant.
🤔 Common Patient Concerns
🔄 Substitutes for Taclicept 0.5mg Capsule
View AllAlternative brands with exact same active ingredient:
-
alagraf 0.5 capsuleAlacris Healthcare Pvt Ltd ₹154.69 1.7% CHEAPER
-
biomus 0.5 capsuleAlniche Life Sciences Pvt Ltd ₹164.06 4.3% COSTLIER
-
Takcel 0.5mg CapsuleOxygen Pharma Care Pvt Ltd ₹164.06 4.3% COSTLIER
-
Tacrotec 0.5mg CapsuleUnited Biotech Pvt Ltd ₹164.98 4.9% COSTLIER
-
rolitrans 0.5mg capsuleCipla Ltd ₹178.88 13.7% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can be stopped once you feel better.
Fact: This medicine must be taken exactly as prescribed. Stopping it suddenly can lead to organ rejection or worsening of autoimmune disease. - Myth: This medicine is safe to take with any other medication.
Fact: This medicine interacts with many drugs, including over-the-counter medicines and herbal supplements. Always consult your doctor before taking any other medicine. - Myth: This medicine weakens the immune system permanently.
Fact: The immunosuppressive effect is reversible and lasts as long as the medicine is taken. However, long-term use can increase the risk of infections and certain cancers. - Myth: You can adjust the dose based on how you feel.
Fact: The dose must be adjusted only by your doctor based on blood tests and clinical response. Never self-adjust the dose.
🔄 Alternative Options
Generic Alternatives
- Tacrolimus 0.5 mg capsule
Brand Alternatives
- Pangraf 0.5 capsule