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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 taking Cellcept and Envarsus XR (Tacrolimis). Your husband is taking just Tacrolimis and Everolimus and no Myfortic, right? Is that the only two immune suppression meds he currently is taking? Since they are monitoring hubby every week, I am sure they will get go the therapeutic levels of both meds pretty quickly. It's great that they have a blood test for Everolimus levels too. I have never seen a blood test for Myfortic or Cellcept.
Do you happen to know what about the meal the previous night affects the Tacrolimis level? @estrada53 mentioned that too. Is it the quantity of food we eat for dinner or specific foods that lessen the Tac level? I assumed it was the quantity of food I ate with the pills in the morning, not the food at dinner but this is the second time I have heard that it's the dinner eaten the night before the labs that may affect the morning labs. Thanks for the great discussion!
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Hi @hello1234, there is a Myfortic lab that Mayo ordered for the 4 and 8 month follow up. It's labeled as "Mycophenolate Acid"(for Myfortic) but I do not really know how to interpret results.
According to the provider, it's not the amount of food but the type of food eaten the night before affects Tac level. Unfortunately, when we get the lab results which is usually 4 or 5 days after blood draw, it's difficult to go back to figure out what was eaten the day before labs! But from now on I'll have to keep track of what his dinner is the night prior to lab work. Tac level can go up or down even though no change in dose. Sometimes I wonder if the lab result is error?? My hubby is currently taking Tacrolimus, Everolimus, and prednisone. Once he reaches therapeutic level the steroid will be dropped.