@rosemarya I just avoid anything with them in them and make sure I check ingredients. The ingredients I was told to avoid were grapefruit, pomegranate, and Seville oranges, plus many herbals. I think it's always wise to check the ingredient list when purchasing something new. I had not heard of clementines before when I have those around I would only two, or a maximum three in a day. More often just one.

Good info in the link. Being on sirolimus since tacrolimus was causing a creatinine problem for me I only have to take it once a day. I have chosen to take it without food so I can take a smaller dose. When I changed from taking it with food to without I went from 4mg to 2.5mg. For me the reason was feeling that the fewer drugs I take the better but for people who have to pay for their medications that could be a good reason to take it without food.

I was surprised at how many drugs it said you may take at the beginning. I took tacrolimus, Cellcept, and prednisone. I think I took Cellcept for 6 months and then just the other two. I know many people are able to get off prednisone but due to my blood counts I will probably need to take it forever. For those of you who are taking prednisone, please be aware that it does weaken your bones. I now have osteoporosis because of it.

One more thing, before I take any medications prescribed by other doctors I run it by the transplant team. I think many other doctors are not aware of the potential problems that some medications can cause. To us, it doesn't seem as if transplant patients are such an oddity but when I went to my gynecologist after my transplant he said I was the first patient he had ever had who had a transplant! He was about 60 so not a new doctor either.
JK

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