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Anyone experience multiple CMV resurgences post kidney transplant?
Transplants | Last Active: Dec 29, 2022 | Replies (107)Comment receiving replies
Hi @caretakermom 😊
I am so happy to hear from you! It sounds like an excellent visit with the new MD that suggested Everolimus instead of Sirolimus to avoid certain side effects. I hope once they adjust to the proper dosage the medication is not too crazy expensive. What target range are they aiming for with hubby's Tacrolimis and Everolimus? My target range for Tac is currently 6 to 8. I take 6mg Envarsus XR. But lately, the numbers have been anywhere between 5 and 7. I think the big difference may be what I eat for breakfast. I take my meds with food to avoid stomach upset but I think it may be changing my numbers. Does hubby take his meds with food or an empty stomach?
I am very hopeful that this new med change will be the final end to hubby's CMV recurrences for good!
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Hi @hello1234, you're taking both Tacrolimus and Envarsus XR? Usually it's one or the other. You're off of Myfortic completely?
The target range for Tac is 5-7 and Everolimus 3-5, with a combined goal of 10-12. Hubby's Tac level is off too since taking Everolimus. They are in process of adjusting his meds, I'm hoping this will not take too long before it reaches therapeutic level. He takes his morning pills right before breakfast but provider says Tac level is affected by diet from previous night. So not uncommon to see it jump from 5 - 7 or vice versa. Currently his Tac level is really low so I'm thinking Everolimus may have affect on Tac trough level.