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cycloSPORINE PO

cycloSPORINE PO
Brand names: Neoral, SandIMMUNE
Form Strength
CAPSULE, ORAL 25 mg; 100 mg; modified 25 mg; modified 100 mg
SOLUTION, ORAL 100 mg/mL


Medication comments:
Per policy, these hazardous drugs have special waste requirements. 
Generic (Brand) Waste Requirements
cycloSPORINE (SandIMMUNE) Hazardous Waste ⇒  BLACK BUCKET 
USP <800> Hazardous Drugs 
Per Policy, these drugs have special handling requirements (any drug with an "AOR" is exempt from these requirements under normal circumstances).
generic (Brand) Route Relative Risk Level AOR? NIOSH 2024 Table MSHI? Warnings
 cycloSPORINE (SandIMMUNE, Gengraf, Neoral) IV Highest N/A 1A No IARC‑1NTP‑1
NIOSH Supplemental information (2016): N/A FDA Pregancy Category C: Animal reproduction studies have shown an adverse effect on the fetus and there are no adequate and well-controlled studies in humans, but potential benefits may warrant use of the drug in pregnant women despite potential risks;

Last updated: Jun. 18, 2025
  • Hazard.Drug Handling(USP 800) USP<800> Hazardous Drug / Assessment of Risk
  • Hazardous Waste BLACK BUCKET
  • Black Box Warnings Infection, neoplasm, nephrotoxicity risk
  • Look-Alike/Sound-Alike cycloSPORINE confused with cycloSERINE, cycloSPORINE modified



Pharmacy Contact Info:

Main Inpatient Pharmacy: ext 4599, 3503
Fax: 704-878-7283

Director of Pharmacy - Randi Raynor, PharmD: ext 4501
Clinical Coordinator - Laura Rollings, PharmD: ext 4597
Pharmacy Informaticist - Stephen Pringle, PharmD: ext 7645
Pharmacy Technician Supervisor - Amy Wingler, CPhT: ext 7385
Pharmacy Automation Coordinator (Omnicell) - Melissa Fulford, CPhT: ext 3556



This site is intended for the staff of Iredell Health System. While others may view accessible pages, Iredell Health System makes no warranty, express or implied, as to the use of this information outside of Iredell Health System. The content of this policy and procedure document serves as guidance to the delivery of quality patient care. Care providers are expected to exercise critical thinking and situational awareness skills, and in specific situations to take such action as is necessary for the delivery of quality patient care.