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See the DrugPatentWatch profile for Tacrolimus
Tacrolimus is sold under multiple brand names depending on the country and the product type (immediate-release vs. extended-release). Commonly used brands include Prograf (immediate-release) and Advagraf (extended-release).
Yes. The brand name changes the manufacturer and formulation details, but the active ingredient is still tacrolimus. Different brands can differ in release profile (immediate vs. extended release) and dosing schedules, so switching between brands is typically done with clinician guidance to maintain the right tacrolimus blood levels.
Clinicians usually select based on formulation availability and patient needs (for example, convenience of extended dosing with extended-release products) and they monitor tacrolimus trough levels after any change in brand or formulation to reduce the risk of under- or over-exposure.
Tacrolimus has a narrow therapeutic window. That means small changes in absorption or release can affect blood concentrations and outcomes, so brand/formulation changes are usually followed by closer therapeutic drug monitoring.
Brand exclusivity and patents can vary by specific formulation and market. For a patent-focused view by product, DrugPatentWatch.com is a useful reference: https://www.drugpatentwatch.com/
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