Envarsus Xr
Vitiligo, Pyoderma Gangrenosum, Kidney Transplantation + 12 more
Treatment
5 FDA approvals
20 Active Studies for Envarsus Xr
Treatment for
Vitiligo
What is Envarsus Xr
Tacrolimus
The Generic name of this drug
Treatment Summary
Tacrolimus (also known as FK-506 or Fujimycin) is an immunosuppressive drug used to prevent organ rejection after transplantation. It can also be used topically to treat severe atopic dermatitis, severe refractory uveitis after bone marrow transplants, and vitiligo. Tacrolimus was discovered in 1984 in a Japanese soil sample containing the bacteria Streptomyces tsukubaensis. It works by binding to the FKBP-12 protein, which inhibits the activity of an enzyme called calcineurin, which in turn reduces the activity of the immune
Prograf
is the brand name
Envarsus Xr Overview & Background
Brand Name
Generic Name
First FDA Approval
How many FDA approvals?
Prograf
Tacrolimus
1994
138
Approved as Treatment by the FDA
Tacrolimus, also called Prograf, is approved by the FDA for 5 uses such as Kidney Transplantation and Kidney Transplant Rejection .
Kidney Transplantation
Kidney Transplant Rejection
Liver Transplant Rejection
Immunosuppressive Treatment
Kidney
Effectiveness
How Envarsus Xr Affects Patients
Tacrolimus works by blocking a protein (FKBP-12) in the body that helps activate T-Lymphocyte cells and the production of IL-2. This helps to reduce the rate of organ rejection when compared to cyclosporine. It is also used to treat eczema and other skin conditions, as it helps reduce inflammation in a similar way to steroids, although it is not as powerful. An important benefit is that it can be used directly on the face, while topical steroids cannot, as they can thin the skin on the face. On other parts of the body, topical steroids are usually the better choice
How Envarsus Xr works in the body
The exact way tacrolimus works to treat atopic dermatitis is unknown. Research has found that tacrolimus blocks T-lymphocyte activation by binding to a protein in cells and forming a complex. This complex stops the production of certain proteins that are involved in T-cell activation and the release of other proteins from skin cells. It also reduces the number of receptors on a type of cell found in the skin.
When to interrupt dosage
The endorsed portion of Envarsus Xr relies upon the determined condition, such as Vitiligo, Rejection; Transplant, Kidney and Pyoderma Gangrenosum. The measure of dosage is subject to the means of delivery (e.g. Capsule, gelatin coated - Oral or Topical) listed in the table beneath.
Condition
Dosage
Administration
Liver
0.5 mg, , 1.0 mg, 5.0 mg, 0.001 mg/mg, 0.0003 mg/mg, 4.0 mg, 0.75 mg, 3.0 mg, 0.2 mg, 0.03 %, 0.1 %, 5.0 mg/mL, 5.0 mg/mg, 0.00003 mg/mg, 0.003 mg/mg
Oral, Capsule, , Capsule - Oral, Capsule, coated, extended release, Capsule, coated, extended release - Oral, Topical, Ointment, Ointment - Topical, Capsule, gelatin coated, Capsule, gelatin coated - Oral, Tablet, extended release, Tablet, extended release - Oral, Solution, Intravenous, Solution - Intravenous, Capsule, extended release - Oral, Capsule, extended release, Granule, Cutaneous, Injection, solution - Intravenous, Injection, solution, Granule - Oral, Granule, for suspension, Granule, for suspension - Oral, Kit, Cream - Topical, Solution - Topical, Cream, Ointment - Cutaneous
Pyoderma Gangrenosum
0.5 mg, , 1.0 mg, 5.0 mg, 0.001 mg/mg, 0.0003 mg/mg, 4.0 mg, 0.75 mg, 3.0 mg, 0.2 mg, 0.03 %, 0.1 %, 5.0 mg/mL, 5.0 mg/mg, 0.00003 mg/mg, 0.003 mg/mg
Oral, Capsule, , Capsule - Oral, Capsule, coated, extended release, Capsule, coated, extended release - Oral, Topical, Ointment, Ointment - Topical, Capsule, gelatin coated, Capsule, gelatin coated - Oral, Tablet, extended release, Tablet, extended release - Oral, Solution, Intravenous, Solution - Intravenous, Capsule, extended release - Oral, Capsule, extended release, Granule, Cutaneous, Injection, solution - Intravenous, Injection, solution, Granule - Oral, Granule, for suspension, Granule, for suspension - Oral, Kit, Cream - Topical, Solution - Topical, Cream, Ointment - Cutaneous
Dermatitis, Atopic
0.5 mg, , 1.0 mg, 5.0 mg, 0.001 mg/mg, 0.0003 mg/mg, 4.0 mg, 0.75 mg, 3.0 mg, 0.2 mg, 0.03 %, 0.1 %, 5.0 mg/mL, 5.0 mg/mg, 0.00003 mg/mg, 0.003 mg/mg
Oral, Capsule, , Capsule - Oral, Capsule, coated, extended release, Capsule, coated, extended release - Oral, Topical, Ointment, Ointment - Topical, Capsule, gelatin coated, Capsule, gelatin coated - Oral, Tablet, extended release, Tablet, extended release - Oral, Solution, Intravenous, Solution - Intravenous, Capsule, extended release - Oral, Capsule, extended release, Granule, Cutaneous, Injection, solution - Intravenous, Injection, solution, Granule - Oral, Granule, for suspension, Granule, for suspension - Oral, Kit, Cream - Topical, Solution - Topical, Cream, Ointment - Cutaneous
Dermatitis, Atopic
0.5 mg, , 1.0 mg, 5.0 mg, 0.001 mg/mg, 0.0003 mg/mg, 4.0 mg, 0.75 mg, 3.0 mg, 0.2 mg, 0.03 %, 0.1 %, 5.0 mg/mL, 5.0 mg/mg, 0.00003 mg/mg, 0.003 mg/mg
Oral, Capsule, , Capsule - Oral, Capsule, coated, extended release, Capsule, coated, extended release - Oral, Topical, Ointment, Ointment - Topical, Capsule, gelatin coated, Capsule, gelatin coated - Oral, Tablet, extended release, Tablet, extended release - Oral, Solution, Intravenous, Solution - Intravenous, Capsule, extended release - Oral, Capsule, extended release, Granule, Cutaneous, Injection, solution - Intravenous, Injection, solution, Granule - Oral, Granule, for suspension, Granule, for suspension - Oral, Kit, Cream - Topical, Solution - Topical, Cream, Ointment - Cutaneous
Rheumatoid Arthritis
0.5 mg, , 1.0 mg, 5.0 mg, 0.001 mg/mg, 0.0003 mg/mg, 4.0 mg, 0.75 mg, 3.0 mg, 0.2 mg, 0.03 %, 0.1 %, 5.0 mg/mL, 5.0 mg/mg, 0.00003 mg/mg, 0.003 mg/mg
Oral, Capsule, , Capsule - Oral, Capsule, coated, extended release, Capsule, coated, extended release - Oral, Topical, Ointment, Ointment - Topical, Capsule, gelatin coated, Capsule, gelatin coated - Oral, Tablet, extended release, Tablet, extended release - Oral, Solution, Intravenous, Solution - Intravenous, Capsule, extended release - Oral, Capsule, extended release, Granule, Cutaneous, Injection, solution - Intravenous, Injection, solution, Granule - Oral, Granule, for suspension, Granule, for suspension - Oral, Kit, Cream - Topical, Solution - Topical, Cream, Ointment - Cutaneous
Lichen Planus, Oral
0.5 mg, , 1.0 mg, 5.0 mg, 0.001 mg/mg, 0.0003 mg/mg, 4.0 mg, 0.75 mg, 3.0 mg, 0.2 mg, 0.03 %, 0.1 %, 5.0 mg/mL, 5.0 mg/mg, 0.00003 mg/mg, 0.003 mg/mg
Oral, Capsule, , Capsule - Oral, Capsule, coated, extended release, Capsule, coated, extended release - Oral, Topical, Ointment, Ointment - Topical, Capsule, gelatin coated, Capsule, gelatin coated - Oral, Tablet, extended release, Tablet, extended release - Oral, Solution, Intravenous, Solution - Intravenous, Capsule, extended release - Oral, Capsule, extended release, Granule, Cutaneous, Injection, solution - Intravenous, Injection, solution, Granule - Oral, Granule, for suspension, Granule, for suspension - Oral, Kit, Cream - Topical, Solution - Topical, Cream, Ointment - Cutaneous
Chronic Graft Versus Host Disease
0.5 mg, , 1.0 mg, 5.0 mg, 0.001 mg/mg, 0.0003 mg/mg, 4.0 mg, 0.75 mg, 3.0 mg, 0.2 mg, 0.03 %, 0.1 %, 5.0 mg/mL, 5.0 mg/mg, 0.00003 mg/mg, 0.003 mg/mg
Oral, Capsule, , Capsule - Oral, Capsule, coated, extended release, Capsule, coated, extended release - Oral, Topical, Ointment, Ointment - Topical, Capsule, gelatin coated, Capsule, gelatin coated - Oral, Tablet, extended release, Tablet, extended release - Oral, Solution, Intravenous, Solution - Intravenous, Capsule, extended release - Oral, Capsule, extended release, Granule, Cutaneous, Injection, solution - Intravenous, Injection, solution, Granule - Oral, Granule, for suspension, Granule, for suspension - Oral, Kit, Cream - Topical, Solution - Topical, Cream, Ointment - Cutaneous
Lung
0.5 mg, , 1.0 mg, 5.0 mg, 0.001 mg/mg, 0.0003 mg/mg, 4.0 mg, 0.75 mg, 3.0 mg, 0.2 mg, 0.03 %, 0.1 %, 5.0 mg/mL, 5.0 mg/mg, 0.00003 mg/mg, 0.003 mg/mg
Oral, Capsule, , Capsule - Oral, Capsule, coated, extended release, Capsule, coated, extended release - Oral, Topical, Ointment, Ointment - Topical, Capsule, gelatin coated, Capsule, gelatin coated - Oral, Tablet, extended release, Tablet, extended release - Oral, Solution, Intravenous, Solution - Intravenous, Capsule, extended release - Oral, Capsule, extended release, Granule, Cutaneous, Injection, solution - Intravenous, Injection, solution, Granule - Oral, Granule, for suspension, Granule, for suspension - Oral, Kit, Cream - Topical, Solution - Topical, Cream, Ointment - Cutaneous
Psoriasis
0.5 mg, , 1.0 mg, 5.0 mg, 0.001 mg/mg, 0.0003 mg/mg, 4.0 mg, 0.75 mg, 3.0 mg, 0.2 mg, 0.03 %, 0.1 %, 5.0 mg/mL, 5.0 mg/mg, 0.00003 mg/mg, 0.003 mg/mg
Oral, Capsule, , Capsule - Oral, Capsule, coated, extended release, Capsule, coated, extended release - Oral, Topical, Ointment, Ointment - Topical, Capsule, gelatin coated, Capsule, gelatin coated - Oral, Tablet, extended release, Tablet, extended release - Oral, Solution, Intravenous, Solution - Intravenous, Capsule, extended release - Oral, Capsule, extended release, Granule, Cutaneous, Injection, solution - Intravenous, Injection, solution, Granule - Oral, Granule, for suspension, Granule, for suspension - Oral, Kit, Cream - Topical, Solution - Topical, Cream, Ointment - Cutaneous
Immunocompromised
0.5 mg, , 1.0 mg, 5.0 mg, 0.001 mg/mg, 0.0003 mg/mg, 4.0 mg, 0.75 mg, 3.0 mg, 0.2 mg, 0.03 %, 0.1 %, 5.0 mg/mL, 5.0 mg/mg, 0.00003 mg/mg, 0.003 mg/mg
Oral, Capsule, , Capsule - Oral, Capsule, coated, extended release, Capsule, coated, extended release - Oral, Topical, Ointment, Ointment - Topical, Capsule, gelatin coated, Capsule, gelatin coated - Oral, Tablet, extended release, Tablet, extended release - Oral, Solution, Intravenous, Solution - Intravenous, Capsule, extended release - Oral, Capsule, extended release, Granule, Cutaneous, Injection, solution - Intravenous, Injection, solution, Granule - Oral, Granule, for suspension, Granule, for suspension - Oral, Kit, Cream - Topical, Solution - Topical, Cream, Ointment - Cutaneous
Vitiligo
0.5 mg, , 1.0 mg, 5.0 mg, 0.001 mg/mg, 0.0003 mg/mg, 4.0 mg, 0.75 mg, 3.0 mg, 0.2 mg, 0.03 %, 0.1 %, 5.0 mg/mL, 5.0 mg/mg, 0.00003 mg/mg, 0.003 mg/mg
Oral, Capsule, , Capsule - Oral, Capsule, coated, extended release, Capsule, coated, extended release - Oral, Topical, Ointment, Ointment - Topical, Capsule, gelatin coated, Capsule, gelatin coated - Oral, Tablet, extended release, Tablet, extended release - Oral, Solution, Intravenous, Solution - Intravenous, Capsule, extended release - Oral, Capsule, extended release, Granule, Cutaneous, Injection, solution - Intravenous, Injection, solution, Granule - Oral, Granule, for suspension, Granule, for suspension - Oral, Kit, Cream - Topical, Solution - Topical, Cream, Ointment - Cutaneous
Kidney Transplantation
0.5 mg, , 1.0 mg, 5.0 mg, 0.001 mg/mg, 0.0003 mg/mg, 4.0 mg, 0.75 mg, 3.0 mg, 0.2 mg, 0.03 %, 0.1 %, 5.0 mg/mL, 5.0 mg/mg, 0.00003 mg/mg, 0.003 mg/mg
Oral, Capsule, , Capsule - Oral, Capsule, coated, extended release, Capsule, coated, extended release - Oral, Topical, Ointment, Ointment - Topical, Capsule, gelatin coated, Capsule, gelatin coated - Oral, Tablet, extended release, Tablet, extended release - Oral, Solution, Intravenous, Solution - Intravenous, Capsule, extended release - Oral, Capsule, extended release, Granule, Cutaneous, Injection, solution - Intravenous, Injection, solution, Granule - Oral, Granule, for suspension, Granule, for suspension - Oral, Kit, Cream - Topical, Solution - Topical, Cream, Ointment - Cutaneous
Prophylaxis against heart transplant rejection
0.5 mg, , 1.0 mg, 5.0 mg, 0.001 mg/mg, 0.0003 mg/mg, 4.0 mg, 0.75 mg, 3.0 mg, 0.2 mg, 0.03 %, 0.1 %, 5.0 mg/mL, 5.0 mg/mg, 0.00003 mg/mg, 0.003 mg/mg
Oral, Capsule, , Capsule - Oral, Capsule, coated, extended release, Capsule, coated, extended release - Oral, Topical, Ointment, Ointment - Topical, Capsule, gelatin coated, Capsule, gelatin coated - Oral, Tablet, extended release, Tablet, extended release - Oral, Solution, Intravenous, Solution - Intravenous, Capsule, extended release - Oral, Capsule, extended release, Granule, Cutaneous, Injection, solution - Intravenous, Injection, solution, Granule - Oral, Granule, for suspension, Granule, for suspension - Oral, Kit, Cream - Topical, Solution - Topical, Cream, Ointment - Cutaneous
Kidney
0.5 mg, , 1.0 mg, 5.0 mg, 0.001 mg/mg, 0.0003 mg/mg, 4.0 mg, 0.75 mg, 3.0 mg, 0.2 mg, 0.03 %, 0.1 %, 5.0 mg/mL, 5.0 mg/mg, 0.00003 mg/mg, 0.003 mg/mg
Oral, Capsule, , Capsule - Oral, Capsule, coated, extended release, Capsule, coated, extended release - Oral, Topical, Ointment, Ointment - Topical, Capsule, gelatin coated, Capsule, gelatin coated - Oral, Tablet, extended release, Tablet, extended release - Oral, Solution, Intravenous, Solution - Intravenous, Capsule, extended release - Oral, Capsule, extended release, Granule, Cutaneous, Injection, solution - Intravenous, Injection, solution, Granule - Oral, Granule, for suspension, Granule, for suspension - Oral, Kit, Cream - Topical, Solution - Topical, Cream, Ointment - Cutaneous
Immunosuppressive Treatment
0.5 mg, , 1.0 mg, 5.0 mg, 0.001 mg/mg, 0.0003 mg/mg, 4.0 mg, 0.75 mg, 3.0 mg, 0.2 mg, 0.03 %, 0.1 %, 5.0 mg/mL, 5.0 mg/mg, 0.00003 mg/mg, 0.003 mg/mg
Oral, Capsule, , Capsule - Oral, Capsule, coated, extended release, Capsule, coated, extended release - Oral, Topical, Ointment, Ointment - Topical, Capsule, gelatin coated, Capsule, gelatin coated - Oral, Tablet, extended release, Tablet, extended release - Oral, Solution, Intravenous, Solution - Intravenous, Capsule, extended release - Oral, Capsule, extended release, Granule, Cutaneous, Injection, solution - Intravenous, Injection, solution, Granule - Oral, Granule, for suspension, Granule, for suspension - Oral, Kit, Cream - Topical, Solution - Topical, Cream, Ointment - Cutaneous
Warnings
Envarsus Xr Contraindications
Condition
Risk Level
Notes
Severe Hypersensitivity Reactions
Do Not Combine
Tacrolimus may interact with Pulse Frequency
There are 20 known major drug interactions with Envarsus Xr.
Common Envarsus Xr Drug Interactions
Drug Name
Risk Level
Description
Abemaciclib
Major
The serum concentration of Abemaciclib can be increased when it is combined with Tacrolimus.
Alectinib
Major
The metabolism of Alectinib can be decreased when combined with Tacrolimus.
Aminophylline
Major
The metabolism of Aminophylline can be decreased when combined with Tacrolimus.
Axitinib
Major
The serum concentration of Axitinib can be increased when it is combined with Tacrolimus.
Bacillus calmette-guerin substrain russian BCG-I live antigen
Major
The therapeutic efficacy of Bacillus calmette-guerin substrain russian BCG-I live antigen can be decreased when used in combination with Tacrolimus.
Envarsus Xr Toxicity & Overdose Risk
Taking too much of this drug can cause serious side effects like vision problems, issues with the liver or kidneys, seizures, shaking, high blood pressure, low magnesium levels, diabetes, high potassium levels, itching, difficulty sleeping, and confusion. The lowest toxic dose in rats is 134-194 mg/kg.
Envarsus Xr Novel Uses: Which Conditions Have a Clinical Trial Featuring Envarsus Xr?
There are 147 active clinical trials analyzing the potential of Envarsus Xr to manage Oral Lichen Planus, Pyoderma Gangrenosum and refractory Rheumatoid Arthropathy.
Condition
Clinical Trials
Trial Phases
Pyoderma Gangrenosum
2 Actively Recruiting
Phase 2, Phase 3
Rheumatoid Arthritis
58 Actively Recruiting
Not Applicable, Phase 3, Phase 2, Phase 1, Phase 4
Immunocompromised
2 Actively Recruiting
Phase 1, Not Applicable
Lichen Planus, Oral
0 Actively Recruiting
Vitiligo
7 Actively Recruiting
Phase 2, Phase 3, Phase 1
Kidney Transplantation
0 Actively Recruiting
Kidney
0 Actively Recruiting
Liver
0 Actively Recruiting
Immunosuppressive Treatment
0 Actively Recruiting
Lung
0 Actively Recruiting
Dermatitis, Atopic
0 Actively Recruiting
Prophylaxis against heart transplant rejection
0 Actively Recruiting
Psoriasis
0 Actively Recruiting
Chronic Graft Versus Host Disease
24 Actively Recruiting
Phase 4, Phase 1, Phase 2, Not Applicable, Phase 3
Dermatitis, Atopic
0 Actively Recruiting
Envarsus Xr Reviews: What are patients saying about Envarsus Xr?
4
Patient Review
2/21/2020
Envarsus Xr for Prevent Kidney Transplant Rejection
3.7
Patient Review
9/22/2016
Envarsus Xr for Prevent Kidney Transplant Rejection
Patient Q&A Section about envarsus xr
These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
What are the side effects of ENVARSUS XR?
"If you experience any of the following side effects, tell your doctor or pharmacist immediately: shaking, headache, diarrhea, nausea/vomiting, upset stomach,ordon sleeping."
Answered by AI
What is the difference between tacrolimus and Envarsus?
"ENVARSUS XR has better control over the release and absorption of tacrolimus than any other tacrolimus formulation. The MeltDose® Technology used to create ENVARSUS XR is a proprietary process that results in a controlled release of tacrolimus over a 24 hour period. This once-daily formulation overcomes the negative characteristics of other tacrolimus formulations."
Answered by AI
What is ENVARSUS XR used for?
"ENVARSUS XR helps to prevent organ rejection by reducing the body's ability to reject transplanted organs. It is an immunosuppressant, which is a type of medicine that reduces the body's immune response."
Answered by AI
Is there a generic for Envarsus?
"There is no other tacrolimus medicine that can be used as a substitute for ENVARSUS XR. The dosage for ENVARSUS XR is different from other tacrolimus products, so if you have been prescribed this medicine, make sure it is the only tacrolimus medicine you are taking."
Answered by AI