ASTAGRAF XL vs SANDIMMUNE

Independent side-by-side comparison.

Rated against independent regulatory sources·Last updated August 21, 2026·How we rate

Possible drug interaction. ASTAGRAF XL and SANDIMMUNE are different prescription medicines. Combining or switching between them can cause interactions — talk to a pharmacist or prescriber before making changes. This page is not medical advice.

Attribute	ASTAGRAF XL	SANDIMMUNE
Rating	70/100	70/100
Pharmacy pays	$0.65 /g	~$52.85 /30
Type	RX	RX
Active ingredient	TACROLIMUS	CYCLOSPORINE
Manufacturer	Astellas	Novartis
Dosage forms	Capsule, extended release	Capsule, Injectable
Drug class	Calcineurin Inhibitor Immunosuppressant	Calcineurin Inhibitor Immunosuppressant
Boxed warning	Boxed warning	None
Half-life	—	about 8.4 hours (range 5 to 18 hours)
Treats	Atopic Dermatitis, Graft Vs Host Disease	Rheumatoid Arthritis, Focal Segmental Glomerulosclerosis, Systemic Lupus Erythematosus

astagraf xl sandimmune

Rating

70/100

Pharmacy pays

$0.65 /g

~$52.85 /30

Type

Active ingredient

TACROLIMUS

CYCLOSPORINE

Manufacturer

Astellas

Novartis

Dosage forms

Capsule, extended release

Capsule, Injectable

Drug class

Calcineurin Inhibitor Immunosuppressant

Boxed warning

None

Half-life

—

about 8.4 hours (range 5 to 18 hours)

Treats

Atopic Dermatitis, Graft Vs Host Disease

Rheumatoid Arthritis, Focal Segmental Glomerulosclerosis, Systemic Lupus Erythematosus

Frequently asked questions

Which is better-rated, Astagraf XL or Sandimmune?

Astagraf XL and Sandimmune are tied at 3.5 out of 5 by our independent rating.

What is the difference between Astagraf XL and Sandimmune?

Astagraf XL contains Tacrolimus, while Sandimmune contains Cyclosporine — they have different active ingredients.

Ratings are based on FDA regulatory (recall-safety) data. This comparison is for general reference only — not medical advice. Always consult a licensed professional before choosing or switching a medication.