Prograf (Tacrolimus)

Prograf
4.437 ratingsReviews
Generic:
Tacrolimus
Indications:
organ rejection
Analogs:
Advagraf Envarsus XR Astagraf XL Modigraf Protopic Neoral Sandimmune Rapamune Zortress Nulojix Cellcept Cyclosporine Imuran Myfortic
AdultsPregnancyAllergiesDiabetesBreastfeedingChildrenDriving

Dosages

Prograf 0.5 mg

Quantity Price per tablet You save Total price
20 C$8.05 - C$161.00
30 C$7.79 C$7.70 C$233.80
60 C$7.16 C$53.20 C$429.80
90 C$6.44 C$144.90 C$579.60
120 C$5.97 C$249.20 C$716.80
180 C$5.49 C$460.60 C$988.40
270 C$5.02 C$818.30 C$1,355.20
360 C$4.78 C$1,178.80 C$1,719.20

Prograf 1 mg

Quantity Price per tablet You save Total price
10 C$12.74 - C$127.40
20 C$10.01 C$54.60 C$200.20
30 C$9.05 C$110.60 C$271.60
60 C$8.35 C$263.20 C$501.20
90 C$7.96 C$429.80 C$716.80
120 C$7.69 C$606.20 C$922.60
180 C$7.12 C$1,010.80 C$1,282.40
270 C$6.58 C$1,663.20 C$1,776.60
360 C$6.04 C$2,413.60 C$2,172.80

Prograf 5 mg

Quantity Price per tablet You save Total price
10 C$51.10 - C$511.00
20 C$42.70 C$168.00 C$854.00

Manufacturers

Astellas PharmaBharat Serums And Vaccines LimitedSandoz

Payment & Shipping

Package Example

Your order is carefully packed and ships within 24 hours. Here's the typical package.

Sized like a regular personal letter (24x11x0.7 cm), with no indication of its contents.

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Side View
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Back View
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Shipping Times
Shipping MethodEstimated delivery
Express Free for orders over C$420.00Estimated delivery to Canada: 4-7 days
Standard Free for orders over C$280.00Estimated delivery to Canada: 14-21 days
EMSCanada Post
Payment Methods
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Discount Coupons

  • Victoria Day - May 18, 2026 8% VICTORIA8
  • Canada Day - July 1, 2026 10% CANADADAY10
  • Labour Day - September 7, 2026 6% LABOUR6
  • Thanksgiving (Canada) - October 12, 2026 9% THANKS9
  • Boxing Day - December 26, 2026 12% BOXING12

Brand Names

Also known as (by country):
CountryBrand Names
Canada
Advagraf
United States
Astagraf XL
United Kingdom
Adoport Advagraf
France
Advagraf
Australia
Advagraf
Germany
Advagraf
Italy
Advagraf
Belgium
Prograft Protopic

FAQ

A prescription is required to buy tacrolimus from local pharmacies in Canada. Our store policy allows you to order tacrolimus capsules without a prescription and have them sent by mail.

Take the missed dose when you remember unless it is nearly time for the next scheduled dose. In that case, skip the missed dose and resume the regular schedule; do not take two doses together. Because tacrolimus levels need close control after a transplant, contact the transplant team if doses are missed repeatedly or you are unsure what to do.

The exact manufacturer for an individual order is not confirmed in advance and may vary. Check the received package label for the manufacturer, along with the active ingredient, strength, capsule dosage form, lot number, and expiry date.

Tacrolimus crosses the placenta, so use during pregnancy requires an individual assessment by the transplant specialist of maternal benefit and potential fetal risk. Do not stop transplant immunosuppression on your own if pregnancy occurs. Tacrolimus passes into breast milk, and breastfeeding is generally avoided during treatment because of the potential for serious adverse effects in the infant.

Description

Immunosuppressants

Several drugs are particularly well-known in the pharmaceutical industry for their exceptional ability to treat various medical ailments. Prograf is among such medications. Prograf is frequently administered to patients undergoing transplantation and to those suffering from particular autoimmune illnesses. It is essential in suppressing the immune system to avoid organ rejection or lessen autoimmune disease symptoms.  

Prograf: What Is It? 

Prograf, sometimes referred to as tacrolimus in its generic form, is an immunosuppressive drug. It limits the body's immunological response by blocking the functioning of specific immune system cells. This immunosuppressive effect is essential in keeping the recipient's immune system from rejecting transplanted organs such as the liver, heart, kidneys, or lungs.

How Does Prograf Work? 

Prograf's capacity to connect to a protein known as FK-binding protein-12 (FKBP-12) is part of its mode of action. Then, this Prograf-FKBP-12 combination inhibits the calcineurin enzyme. The immune response is mediated by T-lymphocytes, a subset of white blood cells activated by calcineurin. Prograf reduces the activation of T-lymphocytes and their subsequent proliferation by blocking calcineurin, which in turn attenuates the immunological response.

TacrolimusUses of Prograf

  1. Prograf is mainly recommended for patients who have had liver, heart, kidney, or lung transplants to prevent organ rejection. It is usually taken as part of a thorough post-transplant protocol together with other immunosuppressive drugs. 
  2. Prograf is indicated not only for transplantation but also for the management of several autoimmune conditions, including eczema, psoriasis, and rheumatoid arthritis. It reduces tissue damage-causing aberrant immune response to help with symptoms in several illnesses. 

Dosage

Indication Initial Oral Dose Maintenance Oral Dose Range Monitoring
Kidney Transplantation 0.10 - 0.20 mg/kg/day in 2 divided doses 0.05 - 0.15 mg/kg/day in 2 divided doses, adjusted based on clinical response and tacrolimus trough levels Tacrolimus trough levels (e.g., 5-15 ng/mL) should be monitored regularly, typically 2-3 times per week initially, then less frequently
Liver Transplantation 0.10 - 0.20 mg/kg/day in 2 divided doses 0.05 - 0.15 mg/kg/day in 2 divided doses, adjusted based on clinical response and tacrolimus trough levels Tacrolimus trough levels (e.g., 5-20 ng/mL) should be monitored regularly, typically 2-3 times per week initially, then less frequently
Heart Transplantation 0.075 - 0.15 mg/kg/day in 2 divided doses 0.05 - 0.10 mg/kg/day in 2 divided doses, adjusted based on clinical response and tacrolimus trough levels Tacrolimus trough levels (e.g., 5-15 ng/mL) should be monitored regularly, typically 2-3 times per week initially, then less frequently
Lung Transplantation 0.075 - 0.15 mg/kg/day in 2 divided doses 0.05 - 0.10 mg/kg/day in 2 divided doses, adjusted based on clinical response and tacrolimus trough levels Tacrolimus trough levels (e.g., 5-15 ng/mL) should be monitored regularly, typically 2-3 times per week initially, then less frequently

Adverse Reactions to Prograf

Prograf has drawbacks even though it works wonders in controlling autoimmune disorders and preventing organ rejection. Among the most common adverse effects of using Prograf are:

  1. Increased susceptibility to infections: Individuals on Prograf are more likely to get infections because this medicine lowers the immune system. Since the immune system is weakened, this danger is exceptionally high in the early post-transplant phase.
  2. Renal toxicity: Extended usage of Prograf may damage the kidneys, which may manifest as reduced renal function or even renal failure. Renal function monitoring is crucial for individuals on Prograf therapy.
  3. Neurological adverse effects: Prograf, especially at higher doses, can produce neurological side effects such as tremors, migraines, and confusion. Usually, these symptoms can be reversed by changing the dosage or stopping the drug.
  4. Metabolic disturbances: Prograf may change how some chemicals are metabolized by the body, which can result in hyperglycemia (high blood sugar), hyperkalemia (high potassium levels), and electrolyte abnormalities. 

Prograf, or tacrolimus, is a potent immunosuppressive drug frequently used to treat autoimmune diseases and facilitate organ donation. Healthcare practitioners can maximize the use of this medication while lowering patient risks by being aware of its mechanism of action, indications, and possible side effects. In spite of its adverse effects, Prograf is still a vital weapon in the fight against autoimmune illnesses and organ rejection, providing countless people all over the world with hope for better results and a higher standard of living.

Medically reviewed by
Jennifer Bowles
Pharmacologist
Updated August 11, 2026

Customer questions

Asked by Marie-Claude Tremblay, Quebec City, Canada

My tacrolimus package arrived in Quebec City during a very cold spell. What should I check before I use the capsules?

Answered by Support team

Check that the outer package and original container are intact, dry, and properly labelled, and that the capsules have no visible damage or unusual appearance. Store them between 5°C and 25°C in the original container, protected from moisture. Since the actual temperature and exposure time are unknown, do not use capsules that appear compromised until they have been assessed.

Asked by Amandeep Kaur, Saskatoon, Canada

I have used Prograf before. Will the package I receive show that brand name, or could it have a generic or manufacturer name instead?

Answered by Support team

We cannot guarantee the exact trade name shown on the package. It may show a generic or manufacturer name instead; confirm that the label states tacrolimus, the prescribed strength, and capsules before taking it.

Asked by Daniel Bouchard, Sherbrooke, Canada

I have just started tacrolimus after my transplant. Which side effects should I report to my transplant clinic urgently?

Answered by Support team
Medical reviewed by Reynard Sparks

Contact the transplant clinic promptly for fever, chills, persistent cough, painful urination, severe headache, confusion, seizures, marked tremor, vision changes, reduced urine, swelling, or unusual weakness. Tacrolimus can increase infection risk and may affect the kidneys, nervous system, blood pressure, potassium, and blood sugar, so these symptoms need timely assessment.

Product specifications

Active ingredientTacrolimus
Drug classCalcineurin inhibitor immunosuppressant
Dosage formCapsule
Available strengths0.5 mg, 1 mg, 5 mg
RouteOral
StorageStore the capsules between 5°C and 25°C in the original container, protected from moisture.
ATC codeL04AD02

Regulatory information

Canada: medicine status

More information