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@caretakermom

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.

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Replies to "Hi @hello1234, Was told by nurse that Mayo Clinic Az always start with Tacrolymus and Mycrophenolate..."

@caretakermom
Interesting!! I assumed that Envarsus was just another brand name for Tacronlimis since my drug monitoring labs are for Tacronlimis. I was started with Mycophenolate and Envarsus XR (Tacronlimis). I didn't realize that there is a difference between Tacronlimis and Envarsus since all my labs include monitoring my "Tacronlimis blood level". Maybe I am wrong and there are medical advantages to taking Envarsus instead of other versions of Tacronlimis like your husband's change to Myfortic instead Mycophenolate. It's the same family of drug, but there is an advantage to the coating to help with digestive problems, etc. It sounds like your local nephrologist may be a good source for the advantages of Envarsus over your current Tac drug. Now that you are saying this...., I remember that a friend of mine in Philadelphia was changed to Envarsus. I will reach out to her to find out why her nephrologist changed her to Envarsus. (I can't remember the reason that instigated the change).