Transplant anti-rejection medications. What's your advice?

Posted by jolinda @jolinda, Apr 23, 2020

Weight gain? Hair loss? Headaches? Never missed a beat? What has your experience with transplant medications been? Have you developed a methods to deal with a side-effect? Have your meds changed at all over time? What advice do you have for others in our community that may make their experience better?

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I had a liver transplant almost 6 years ago I am on tacromilis 1mg every 12 hours. I will experience headaches every once in a while but not as much as before. Hair loss is probably my main side effect - I was lucky I had very thick hair at one time.

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I am so grateful that I came across this site. I had a heart transplant and also a pancreas transplant (which I lost). I have suffered from joint pain, hair loss, and nocturia (something I never even knew happened because of anti-rejection meds). I have been on tacrolimus, mycophenolate, and prednisone for the past 7 years. Now they have added the sirolimus because I was recently diagnosed with CAV. Since they added the sirolimus, I am unable to sleep at night, shaking, and anxious. It is comforting to know that I am not alone. Thank you all so much for sharing and for your wonderful insight. Reading your posts has helped me tremendously.

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@contentandwell

@jolinda I was initially on tacrolimus but it caused my creatinine numbers to be high. Initially, they recommended that I drink 80 - 100 ounces of fluid a day and that helped, but not enough. They then changed me to sirolimus and since then I have been fine.
The only noticeable effect I had was thinning hair but the transplant team suggested that I take biotin so I do. I have continued to take it because it is also good for your fingernails and mine are very thin.
I was able to drop from 4mg a day of sirolimus to 2.5 when I chose to take it consistently without food. I set my alarm for 6:30, get up and take my medications, and try to go back to sleep for another hour but usually that does not happen so I just get up and do something until the hour has elapsed. Since I tend to be inconsistent when I eat my breakfast, and I am supposed to take the sirolimus at the same time daily, I find this works for me.
JK

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Hi. Jackie here. My liver transplant was 10/20/20
Went thru the mill with medication.i too dropped tacrolimus I am on sirolimus 3 mg a day, just in morning my level is good I had to watch my creatine levels
But as today now I have to worry about my GFR numbers for the kidneys
I need to see a kidney Dr my last number was 43.....anyone else??? What the f....now I have to do research. I am not diabetic and b/p is under control it is ok.when I came home from my surgery I was in hospital 2 months my hair also acted up but I started taking biotin and it helped. I don't look like Farrah Faycett but it is ok not bad ..well any info someone can add always appreciate. Kisses to all

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I"m a liver transplant patient 15 years out. 3 years ago my transplant doctors in NY said I could try no anti rejection meds and to this day I have not rejected and no longer have side effects of meds. Slowly weaned down. I am lucky because I was a good match." I don't recommend trying this without your Drs. approval" . The liver is the largest organ in the body and has the best chance of not rejecting after at least 10 yrs on immunosuppressive drugs!

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It’s been 2 years since my liver transplant during the ordeal I lost a lot of my hair but now use Biotin pills and shampoo and it’s back for being 65 I just am on tacrolimus and prograf and high strength magnesium, Keppra not too bad I get headaches because I had a stroke and brain bleed right after my 13 hour surgery

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@pgruetz

It’s been 2 years since my liver transplant during the ordeal I lost a lot of my hair but now use Biotin pills and shampoo and it’s back for being 65 I just am on tacrolimus and prograf and high strength magnesium, Keppra not too bad I get headaches because I had a stroke and brain bleed right after my 13 hour surgery

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It’s been 1yr and almost 2
months since my transplant. I also had a right sided stroke and my pituitary gland disappeared post transplant. The meds are crazy still!! Anti rejection, anti seizure, anti high blood sugar, and so one and so one. From stage 4 diagnosis to transplant was 7yrs 5 months. Which was a battle in itself with 50 EGD’s and 9 paracentesis , and the crazy bilirubin encephalitis trips were too numerous to count. I thank my family for seeing me through this. The entire medical professional staff for their hands on care. But mostly I thank my Lord and Savior for blessing me once again with life!

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@bosco17

I"m a liver transplant patient 15 years out. 3 years ago my transplant doctors in NY said I could try no anti rejection meds and to this day I have not rejected and no longer have side effects of meds. Slowly weaned down. I am lucky because I was a good match." I don't recommend trying this without your Drs. approval" . The liver is the largest organ in the body and has the best chance of not rejecting after at least 10 yrs on immunosuppressive drugs!

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God bless you! Keep fighting the good fight!!

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@davecummings

It’s been 1yr and almost 2
months since my transplant. I also had a right sided stroke and my pituitary gland disappeared post transplant. The meds are crazy still!! Anti rejection, anti seizure, anti high blood sugar, and so one and so one. From stage 4 diagnosis to transplant was 7yrs 5 months. Which was a battle in itself with 50 EGD’s and 9 paracentesis , and the crazy bilirubin encephalitis trips were too numerous to count. I thank my family for seeing me through this. The entire medical professional staff for their hands on care. But mostly I thank my Lord and Savior for blessing me once again with life!

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I only had 7 months from start to finish it can go quick , Jesus stood next to me the whole time and still does my hospital many of the doctors were Christian and prayed with me daily all the way into the operating room plus I had a very diligent prayer team all over, it’s gets better but it’s a slow recovery I’m discovering

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@contentandwell

@estrada53 I too am on 5 mg of prednisone. It has not caused any problems that I was aware of except for the bruising on my arms, until I discovered that it had caused my osteoporosis.
The bruising is called purpura and it can be helped by applying a topical (approved by my transplant team). The transplant dermatologist at Mass General prescribed it for me. It is often used for acne too! It toughens your skin a bit to prevent the bruising. There is also an OTC cream made especially for purpura called DerMend. That helps too.
Did your weight gain happen immediately? I am really struggling with my weight currently and have been since last summer, which would have been almost 3 years post-transplant. I suspect I will always have to take prednisone because my blood numbers (platelets especially) run low and prednisone helps with that.
If you seek the prescription cream, be aware that it is expensive and not covered by insurance, but if you use the app GoodRx you can find it priced fairly reasonably. I haven't used it for a while, I primarily didn't want those bruises limiting me in getting a dress for my son's wedding last August.
JK

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I have been on 5mg, sometimes up to 20mg, since I was 16 years old. I understand your troubles. I have no side effect from 5 mg. I am a liver transplant patient.

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@rachel5239

I have been on 5mg, sometimes up to 20mg, since I was 16 years old. I understand your troubles. I have no side effect from 5 mg. I am a liver transplant patient.

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I also had my transplant almost 38 years ago. I was number 90 and 98. Still doing really well. I think my mayo doctors are even a little shocked.

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