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by Novartis

Simulect 20 mg Injection

Basiliximab 20 mg

Simulect 20 mg Injection is a trusted medication containing Basiliximab, designed for personal use under the guidance of a healthcare professional. Available for prescription-based international supply with discreet worldwide delivery.

Quick Facts
  • Active ingredient: Basiliximab
  • Strength: 20 mg
  • Form: Vial
  • Indication: Prophylaxis of acute organ rejection in kidney transplant recipients (induction therapy)
  • Manufacturer: Novartis
Commonly used forOrgan Transplant

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Overview

What is Basiliximab?

Basiliximab is a chimeric monoclonal antibody given as just two intravenous doses at the time of kidney transplant (day 0 and day 4). It blocks the IL-2 receptor on activated T cells during the highest-risk period for acute rejection. Unlike maintenance immunosuppressants, it is not taken long-term.
Mechanism

How Does It Work?

1
IL-2 receptor binding

Basiliximab binds the CD25 alpha subunit of the high-affinity IL-2 receptor expressed on activated T lymphocytes, blocking IL-2 from docking.

2
Clonal expansion blockade

Without IL-2 signalling, antigen-specific T cells cannot undergo the clonal proliferation that drives acute rejection of the transplanted organ.

3
Receptor saturation period

Therapeutic saturation of CD25 receptors is maintained for 4–6 weeks after two doses, covering the highest-risk period for acute rejection after surgery.

Dosage

How to Use

General guidance
  • 20 mg IV over 20–30 minutes on day 0 (2 hours before transplant surgery)
  • 20 mg IV on day 4 post-transplant (two doses total only)
  • Paediatric < 35 kg: 10 mg on day 0 and day 4

Take exactly as prescribed. Your prescriber's instructions replace the general guidance above.

Safety

Side Effects & Precautions

Common Side Effects
  • Constipation
  • Nausea
  • Peripheral oedema
  • Hypertension
  • Anaemia
  • Headache
Serious Side Effects — seek help immediately
  • Severe hypersensitivity / anaphylaxis (rare — resuscitation equipment must be available)
  • Increased infection risk (additive with other immunosuppressants)
  • Lymphoma risk (from overall immunosuppression regimen)
Who Should Not Take This
  • Known hypersensitivity to basiliximab or murine proteins
  • Active severe systemic infection at time of transplant
Sitharam Reddy
Medically reviewed by
Sitharam Reddy B.Pharm, M.Pharm

Sitharam Reddy is a licensed clinical pharmacist with 19 years of experience. He holds a B.Pharm and M.Pharm from Rajiv Gandhi University of Health Sciences. At OnlineMeds, he reviews medicine and health content to help ensure it is accurate, evidence-based, and easy to understand.

Storage

Storage & Handling

Storage
Store at 2–8°C (refrigerated)
Storage 2
Use reconstituted solution within 4 hours at room temperature or 24 hours refrigerated
Children
Keep out of reach of children.
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FAQ

Frequently Asked Questions

How is Simulect 20 mg Injection given — is it a tablet I take every day?
Simulect 20 mg Injection is an intravenous infusion given only twice: just before your transplant surgery and again four days later. It is not a long-term daily medication.
What does Basiliximab do for my transplant?
Simulect 20 mg Injection blocks the IL-2 receptor on T cells, preventing your immune system from attacking your new kidney during the critical first weeks when rejection risk is highest.
Are there long-term side effects from Simulect 20 mg Injection?
Because Basiliximab is given only twice, long-term effects from the drug itself are not expected. Ongoing immunosuppression risks come from your other transplant medications.
Will I feel anything during the Simulect 20 mg Injection infusion?
The infusion takes 20–30 minutes and is generally well tolerated. Medical staff will monitor you closely as rare allergic reactions can occur.
⚠ BLACK BOX WARNING

Severe acute hypersensitivity reactions including anaphylaxis have been reported. Medications for treating hypersensitivity must be immediately available during each administration.

Drug Interactions

Drug / SubstanceEffectAction
No major direct pharmacokinetic interactions; additive immunosuppression with tacrolimus, MMF, and corticosteroids increases overall infection risk

References

Disclaimer: This content is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional before starting, stopping, or changing any medication. Used as prescribed by a licensed medical professional.
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