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Liver transplant - Let's support each other

Transplants | Last Active: 1 day ago | Replies (1617)

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@rosemarya

Tylenol and over the counter medicines for transplant recipients is something that many of my nontransplant friends do not understand. Although they have the best intentions, they have occasionally given me unsolicited advice. Has that ever happened to you? I am extremely thankful for this Mayo Connect online Community where we can openly share, support, learn together while always adhering to the advice of our own transplant team.

@marilynwhitlock, I am so glad that you brought up the question about Tylenol to the attention of this group! I don't know how long ago you had your transplant, but you are absolutely correct to ask questions when there is any doubt or uncertainty.

I had a recent experience that I want to share because it relates to this topic. 2 weeks ago, on a Sunday morning I went to my local ER due to a quickly rising temperature and intense shivering. . Since I was a transplant recipient, I was immediately tended to (I had called in advance, and surprisingly the ER was not busy at 6AM) I was given IV Tylenol to bring down 103 fever, and had all kinds of lab tests that all came back negative according to the doctor. When the discharge nurse removing the IV and getting me ready for discharge, she told me that I could continue to take Tylenol, or - Motrim (for some leg soreness from previous day yardwork). She acted surprised when I said no to the Motrim, I did not consider her to be qualified to tell me that, plus I did not need it.
@kathycaudle, @jerrynord, @silverwoman,@marilynwhitlock @ronromo - Has anything like that ever happened to you when being seen by a nontransplant health provider? How did you respond?

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Replies to "Tylenol and over the counter medicines for transplant recipients is something that many of my nontransplant..."

I can't say that it has happened to me. I've been incredibly lucky so far and have had a very close relationship with my post-transplant nurse practitionerat Mayo, so the one time I had a temperature, she was right on top of it. Her advice, I trust implicitly.

I’m glad you had nothing serious going on Rosemary!

I have Sjogren’s Syndrome, which is causing peripheral neuropathy and pain. I was told by a rheumatology PA I could consider taking hydroxychloroquine. I informed him I had already looked into it as a potential treatment. However, it has a major interaction with Tacrolimus. To which he responded, “so does Mycophenolate, so it would be okay.”

To which I stated, yes, technically, it does. However, that’s the point of taking them together, as that’s how they work to keep our bodies from developing antibodies that may cause us to reject our transplanted organ(s). And, it’s critical that we do not take anything that may interfere with this process.

Needless to say, since I hadn’t received any real help from him anyway, I stopped seeing him.