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@hello1234

Hi @caretakermom 😊
Absolutely, feel free to PM anytime! And of course, I assume we will have many, many, many future discussions together as new challenges arrive for us on this transplant journey.
The great news is that I find this Mayo Connect Transplant Group of people to be incredibly supportive and smart!! Everyone has wonderful insights and is open to sharing their experiences.
I love to get "the team's" thoughts when I have a new concern. Don't hesitate to post a new discussion when things come up. Everyone normally jumps in to help.... It's terrific!! And getting lots of different experiences and varied advice can be very helpful.
Regarding my Tac, I started on long-acting Envarsus XR immediately after transplant. I was never offered a different Tacronlimis drug.
Maybe they gave it to me because my insurance plan from work covered it? I am not sure how they decide which Tac to give which patient but it may be whichever Tac drug that insurance company covers? It is convenient to take once a day in the morning. But I don't think there are any other medical advantages. When I started on it, it definitely gave me shaky hands. My local nephrologist always commented when he saw me hold anything. I think the shakes have improved, but I am still a little shaky. (Maybe now it's just stress that gives me shaky hands!) 😊 If the long-acting version is not covered by your insurance, I wouldn't think the "once a day" rather than twice a day would be worth any additional expense since your hubby needs to take the Myfortic twice a day anyway. Is your husband taking Envarsus, but just not the XR version?

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Replies to "Hi @caretakermom 😊 Absolutely, feel free to PM anytime! And of course, I assume we will..."

Hi @hello1234, Was told by nurse that Mayo Clinic Az always start with Tacrolymus and Mycrophenolate Moeftil as the 2 immuno drugs for kidney transplant patient because they are considered "gold standard". They will switch to other drugs if patients develop issues. They had to switch my hubby to Myfortic because of digestive problems with Mycophenolate. Our insurance will cover anything provider prescribes, but authorization request is required for specialty drugs such as Mavyret which Mayo Clinic Az uses to treat Hep C. I asked about your Envarsus Xr because our LOCAL neph(in Calif) may switch hubby to Envarsus sometime in future because he believes it's a better drug.