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Tacrolimus HGC® Capsules for Transplant Rejection Prevention
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Applies to all products originating from Canada. Maximum allowable quantity equal to a 90-day supply per single order.
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Price range: $190.99 through $1,070.99
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Tacrolimus HGC capsules help prevent organ rejection after kidney or liver transplant. This listing is for immediate-release capsules used with other immunosuppressants. Ships from Canada to US so you can compare options and plan your refills. If you pay cash, you can review Tacrolimus price without insurance and see how Canadian rates may help. You can store your order in your account and manage future refills at your pace.
What Tacrolimus HGC Is and How It Works
Tacrolimus HGC® is an immediate-release calcineurin inhibitor used after transplantation. It lowers immune activity to help protect the graft. The active ingredient binds FKBP-12 to inhibit calcineurin, reducing IL-2 transcription and T-cell activation. This class has a narrow therapeutic index, so levels are checked regularly.
Tacrolimus hard gelatin capsules are typically used with corticosteroids and an antiproliferative agent. Keep your product form consistent, and do not interchange with extended-release versions. Border Free Health connects U.S. patients with licensed Canadian partner pharmacies; prescriptions are verified with prescribers before dispensing.
Who It’s For
This treatment is indicated to prevent rejection in adult kidney or liver transplant recipients. In some regions, it may also be used after heart transplant per label. People with known hypersensitivity to tacrolimus should avoid it. Those with severe kidney or liver impairment require careful monitoring by a prescriber.
Some patients may use Prograf generic capsules as part of a multi-drug regimen. Your healthcare professional will set targets and oversee changes. Avoid live vaccines while on this immunosuppressant unless your prescriber advises otherwise.
Dosage and Usage
Follow the directions on your prescription label and the official prescribing information. Initial dosing depends on transplant type and clinical status. Capsules are taken twice daily, approximately 12 hours apart. Take consistently with regard to meals, since food can change absorption. Many patients take it on an empty stomach for stable levels.
- Timing window: take morning and evening, 12 hours apart
- Food consistency: same relation to meals each day
- Swallow whole: do not open, crush, or chew
- Avoid grapefruit: juice and fruit can raise levels
- No form switching: do not substitute extended-release
Laboratory monitoring guides adjustments. Your prescriber will check trough concentrations, kidney function, electrolytes, and blood pressure. Report new neurologic symptoms, tremor changes, or infection signs. Refer to the official label for complete instructions.
Strengths and Forms
Immediate-release capsules are commonly available in these strengths:
- 0.5 mg
- 1 mg
- 5 mg
Availability may vary by partner pharmacy and country of origin. Package sizes and manufacturers can differ. Your prescriber should confirm the strength and quantity needed.
Missed Dose and Timing
If you miss a dose, take it when remembered unless it is near the next dose. If close to the next scheduled time, skip the missed capsule. Do not double up to make up a dose. Keep a steady routine and use reminders. Contact your prescriber for guidance if you miss multiple doses or have vomiting shortly after a dose.
Storage and Travel Basics
Store at room temperature in a dry place. Keep in the original bottle or blister to protect from moisture and light. Secure the container away from children and pets. When traveling, carry doses in your hand luggage with your prescription label. Maintain your schedule across time zones by planning dose times in advance. Bring a medication list and your prescriber’s contact details in case questions arise.
Benefits
This medicine helps reduce the risk of organ rejection as part of a combination regimen. The capsule form supports consistent daily use. Keeping a reliable routine and monitoring helps your team adjust therapy to your needs. Many people appreciate the ability to align dosing with morning and evening habits.
Side Effects and Safety
- Common: tremor, headache, nausea, diarrhea, insomnia
- Metabolic: high blood pressure, high blood sugar, high potassium
- Neurologic: tingling, dizziness, confusion
- Infections: increased susceptibility to bacterial, viral, and fungal infections
Serious risks can include kidney problems, neurotoxicity, serious infections, and malignancies. Report vision changes, severe headache, confusion, or reduced urine output. Avoid live vaccines while immunosuppressed. Your care team will monitor labs and adjust therapy based on clinical response and levels. Read the boxed warnings and safety sections in the official label.
Drug Interactions and Cautions
Tacrolimus is metabolized by CYP3A. Strong inhibitors can raise levels (for example, ketoconazole, clarithromycin). Inducers can lower levels (for example, rifampin, carbamazepine). Avoid grapefruit and St. John’s wort. Tell your clinician about all prescription drugs, OTC medicines, and supplements.
Use caution with other nephrotoxic agents. Discuss pregnancy and breastfeeding plans with your prescriber. Limit UV exposure and use sun protection, since long-term immunosuppression may raise skin cancer risk. Keep using the same formulation and manufacturer when possible, and notify your pharmacy if anything changes.
What to Expect Over Time
Your team will measure trough levels and adjust dosing based on results, kidney function, and side effects. The goal is stable protection with the lowest effective exposure. You may notice tremor or blood pressure changes early; these can improve as levels are optimized. Keep a dosing log, use phone reminders, and bring your medication bottle to appointments to support safe management.
Compare With Alternatives
Other agents are often combined with tacrolimus or considered when tailoring therapy. One option is Mycophenolic Acid, an antiproliferative frequently used with calcineurin inhibitors. Prescribers may also consider azathioprine or cyclosporine depending on clinical factors. Some patients use extended-release tacrolimus products; availability varies by pharmacy and label.
People sometimes search for Buy Astagraf XL generic, but immediate-release and extended-release products are not interchangeable. Discuss any formulation changes with your prescriber before switching.
Pricing and Access
We list transparent options so you can compare packages and manufacturers. Many patients review Tacrolimus 1 mg capsules price when planning refills and lab visits. You can explore Canadian pricing with US delivery from Canada and check current stock on this page. We support self-pay and provide receipts you can submit to plans as allowed. For deals and seasonal offers, see our Promotions page.
You can also Order Tacrolimus online after your prescription is verified. Payment is processed through an encrypted checkout. If you have questions about generics or sourcing, you can view country-of-origin pages such as Canada for more context.
Availability and Substitutions
Supply can vary by strength, manufacturer, and pack size. If your requested item is unavailable, your prescriber may recommend a different strength, a different manufacturer, or an alternative agent matched to your clinical needs. We cannot guarantee restock dates. Your prescription must match the final dispensed product.
Patient Suitability and Cost-Saving Tips
This therapy may be suitable for adult transplant recipients whose clinicians recommend a calcineurin inhibitor. It may not be suitable for people with known hypersensitivity to tacrolimus or those unable to follow routine monitoring. People with significant kidney or liver disease require close oversight.
- Multi-month fills: align supply with monitoring visits
- Routine schedule: take doses 12 hours apart
- Refill reminders: set alerts a week before running low
- Meal consistency: use the same relation to food
- Travel plan: pack enough doses for the trip plus extra
If you’re comparing topical options for eczema, note these are different products used for a different condition. For educational context, see Atopic Dermatitis Eczema or browse Dermatology to understand how topical calcineurin inhibitors differ from transplant medicines.
Questions to Ask Your Clinician
- Monitoring plan: how often will labs and trough levels be checked?
- Target levels: what range should my results be within for my transplant?
- Food timing: should I take it with or without food for consistency?
- Drug interactions: which new medicines or supplements should I avoid?
- Safety signals: what symptoms require a call or urgent care?
- Vaccinations: which vaccines are recommended and which should I avoid?
- Formulation: is an extended-release form appropriate for me later?
Authoritative Sources
Astellas Prograf Prescribing InfoFDA DailyMed: Tacrolimus CapsulesHealth Canada Drug Product Database
Missed Dose and Timing
If you are unsure what to do after a missed dose, check the patient leaflet and contact your prescriber. Keep your schedule steady over weekends, travel, and holidays. A pill organizer and alarms can help maintain adherence.
Ready to place your order? You can complete checkout with prompt, express shipping and US shipping from Canada, with temperature-controlled handling when required. This page is informational and does not replace medical advice; always follow your prescriber’s directions.
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Prices:
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Shipping Countries:
- United States (all contiguous states**)
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Is this the same medicine as Prograf?
Prograf is a brand name for immediate-release tacrolimus. Tacrolimus HGC is a generic version of the same active ingredient and dosage form, supplied by different manufacturers. Generics must meet bioequivalence standards established by regulators. Your prescriber may prefer you remain on a consistent manufacturer and formulation. If your bottle looks different, check the label and speak with your pharmacist or clinician before making any changes.
Can I open or split the capsules?
Do not open, crush, or chew the capsules. Swallow each dose whole with water. Opening capsules can change how the medicine is absorbed and may expose you to powder that should be handled carefully. If you have trouble swallowing, talk with your prescriber about options. Do not switch to extended-release products unless your clinician specifically prescribes them and provides new instructions.
Which foods or drinks should I avoid?
Avoid grapefruit and grapefruit juice, which can raise tacrolimus levels. Be consistent with meals to keep absorption steady. Limit alcohol if advised by your clinician. Ask about herbal products, especially St. John’s wort, which can lower levels. Maintain a balanced diet and adequate hydration. If you experience nausea or diarrhea, report persistent issues because they can affect levels and require monitoring.
How is monitoring done with this therapy?
Your team orders blood tests to check trough levels before your next dose. They also monitor kidney function, liver enzymes, electrolytes, blood pressure, and blood sugar. Dose adjustments are made by your prescriber based on these results and how you are feeling. Keep all appointments, bring your medication list, and use reminders so you don’t miss labs or doses. This helps maintain safe and effective use over time.
What if I’m switching to an extended-release version?
Immediate-release and extended-release tacrolimus are not interchangeable on a mg-to-mg basis. If your prescriber switches you to an extended-release product, you will receive new instructions for timing and dose. Do not change forms on your own. Your team will monitor trough levels closely during any transition to maintain appropriate exposure and reduce the risk of rejection or side effects.
Can I get vaccines while taking this medicine?
Many inactivated vaccines can be given while using immunosuppressants, but effectiveness may be lower. Live vaccines are generally avoided due to infection risk. Discuss your vaccination plan with your prescriber, including timing around transplant and any household contacts. Your healthcare professional can coordinate with your transplant center to ensure you get appropriate protection and avoid live-attenuated products.
What lab values should I watch?
Common parameters include tacrolimus trough level, creatinine, potassium, magnesium, liver enzymes, and blood pressure. Your care team may also check blood sugar and lipids. Keep a personal record of results if helpful. Report new neurologic symptoms, tremor changes, reduced urine output, or signs of infection promptly. Do not change your dose based on lab results without input from your prescriber.
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