What adverse reaction to cyclosporine (Sandimmune) should a client report?

When taking cyclosporine, the presence of hand tremors is significant and should be reported to a healthcare provider. This reaction may indicate neurotoxicity, which can be associated with cyclosporine therapy. Cyclosporine is an immunosuppressant often used to prevent organ rejection in transplant patients and manage autoimmune conditions, but it can have serious side effects, including those affecting the central nervous system. Hand tremors could suggest that the drug is affecting the neurological system and might require closer monitoring or adjustment of the medication.

Although changes in urine color, increasing body hirsutism, and nausea or vomiting are worth noting in cyclosporine therapy, they do not carry the same immediate concern for neurotoxicity as hand tremors do. Changes in urine color could indicate nephrotoxicity, which is also important, but the tremors are more directly associated with the potential need for urgent intervention. Therefore, hand tremors stand out as a more alarming symptom that warrants prompt medical evaluation.