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Vicid,
It is my understanding that Sandimmune is the original Cyclosporine and that Neoral is "Cyclosporine Modified". They have different bioavailability and are not absorbed by the body the same way. So, they are not interchangeable.
I've never heard of "Sandimmune Neoral", as they are two different drugs. You may check the packages and look for the word "Modified". If one package says "Modified" and one doesn't, you know that they are different.
I think that the iron build up and transfusion dependence (along with being on Cyclosporine) could be causing the fatigue in your father. After a month, I don't think that ATG is the cause.
Hope this helps! I'm not an expert but am basing this on what I've learned through my experience and research.
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55 yo female, dx 9/08, AA/hypo-MDS, subclinical PNH, ATG/CsA 12/08, partial response. small trisomy 6 clone, low-dose cyclosporine dependent
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