Prograf (Tacrolimus)

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

Prograf 0.5 mg

Quantity Price per tablet You save Total price
20 £4.26 - £85.19
30 £4.12 £4.07 £123.71
60 £3.79 £28.15 £227.43
90 £3.41 £76.67 £306.69
120 £3.16 £131.86 £379.29
180 £2.91 £243.72 £523.00
270 £2.66 £433.00 £717.09
360 £2.53 £623.75 £909.70

Prograf 1 mg

Quantity Price per tablet You save Total price
10 £6.74 - £67.41
20 £5.30 £28.89 £105.93
30 £4.79 £58.52 £143.72
60 £4.42 £139.27 £265.21
90 £4.21 £227.43 £379.29
120 £4.07 £320.77 £488.19
180 £3.77 £534.86 £678.57
270 £3.48 £880.07 £940.08
360 £3.19 £1,277.14 £1,149.72

Prograf 5 mg

Quantity Price per tablet You save Total price
10 £27.04 - £270.39
20 £22.59 £88.90 £451.89

Manufacturers

Astellas PharmaBharat Serums And Vaccines LimitedSandoz

Payment & Delivery

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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Delivery Times
Delivery MethodEstimated delivery
Express Free for orders over £222.24Estimated delivery to the UK: 4-7 days
Standard Free for orders over £148.16Estimated delivery to the UK: 14-21 days
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Brand Names

Also known as (by country):
CountryBrand Names
United Kingdom
Adoport Advagraf
Australia
Advagraf
Canada
Advagraf
United States
Astagraf XL

FAQ

In the United Kingdom, tacrolimus is a Prescription Only Medicine and local pharmacies require a prescription. Our store policy allows you to order it without a prescription and have it sent by mail.

No. Tacrolimus helps prevent transplant rejection, which may occur without obvious symptoms, so feeling well is not a reason to stop it. Stopping or changing treatment can allow tacrolimus levels to fall and should only be done under the direction of the transplant team.

Not necessarily. Capsule colour, size, markings, packaging and inactive ingredients can vary between products, and the exact supplied manufacturer and appearance cannot be guaranteed in advance. In the UK, oral tacrolimus should be prescribed and dispensed by brand name, as switching products requires specialist supervision and blood-level monitoring.

Tacrolimus capsules are an immunosuppressant used with other medicines to help prevent organ rejection after a transplant, including kidney, liver, heart and lung transplants. They reduce immune activity and require specialist supervision with regular blood-level and safety monitoring.

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 11 August 2026

Customer questions

Asked by Mia P, Belfast, United Kingdom

I'm in Belfast. Can I check whether tacrolimus can be delivered to my address before I pay?

Answered by Support team

Yes. Please enter your Belfast delivery address at checkout and review the delivery options shown there. Availability for a particular address is confirmed by the options presented during checkout.

Asked by James Wilson, Reading, United Kingdom

Before ordering, how can I tell how many tacrolimus capsules are in the pack?

Answered by Support team

Choose the pack quantity on the product page before adding it to your basket. Available pack sizes are 10, 20, 30, 60, 90, 120, 180, 270 and 360 capsules.

Asked by Hannah Patel, Leeds, United Kingdom

My GP has suggested clarithromycin for a chest infection, but I take tacrolimus after a kidney transplant. Can I take them together?

Answered by Support team
Medical reviewed by Jennifer Bowles

Clarithromycin can substantially raise tacrolimus blood levels and increase the risk of toxicity, including kidney and neurological effects. The prescriber and transplant team need to know before it is started so that an alternative or close tacrolimus-level monitoring can be arranged.

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

United Kingdom: medicine status
Registration statusPrograf 0.5 mg, 1 mg and 5 mg hard capsules are authorised medicines in the United Kingdom.
Prescription statusPrograf is a Prescription Only Medicine (POM) in the United Kingdom and must be prescribed by an appropriate clinician.
Marketing authorisation holderAstellas Pharma Ltd is the UK marketing authorisation holder for Prograf hard capsules.
Safe prescribingOral tacrolimus products should be prescribed and dispensed by brand name because formulations are not interchangeable without specialist supervision; blood tacrolimus concentrations require monitoring.
Patient medicine informationThe NHS provides patient information on tacrolimus, including how it is taken, adverse effects and monitoring advice.

More information