Hair loss after transplant, probably Tacrolimus: Anyone change meds?

Posted by hello1234 @hello1234, Mar 26, 2022

In the beginning, my hair loss seemed minimal and I took Biotin supplements. Now, approaching my 2nd anniversary for my kidney transplant, my hair is coming out in gobs. I believe it's probably the Tacronlimis. If you had this problem, what did you do to solve it? Rogaine for Women, Hairmax laser comb, change your medication, or something else? Please let me know your experience (I think I am going bald).
Many thanks!

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@3kidneyshammy hello and congratulations on your new transplant! I was losing handfuls of hair post transplant and bilateral nephrectomy for PKD and they recommended biotin. I took it for a while before reading something negative about biotin, (cannot remember exactly what that was, but I quit taking it) not sure the biotin helped or if it was just Time. Even though Tac may contribute to this I personally think the trauma of the surgery is a huge part of hair loss. My hair slowly started filling in by 6 months and was doing somewhat better until January when I had a procedure with general anesthesia. Since then I have been losing some again, but not to the extent I was post transplant. I think it was the anesthesia and anxiety that caused it in Jan. I know it is hard to experience the hair loss, but it typically will get better. So many changes happen with a transplant. I did buy this Joan Rivers compact powder with brush that I used sometimes immediately post transplant to cover my silver outgrowth which also helped with making the thinning look less. My transplant was 12/7/20 a little over 2years ago. Hang in there, it will get better!

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In addition to a Biotin supplement I also use Joico volumizing shampoo. The two work together pretty well!

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@jennifer0726

I was losing hair like crazy after transplant, and my team allowed me to take biotin. They said it was the Tacrolimus. The trauma probably contributed to it as well. It did eventually slow down and started filling in some. However, after I was sick in February I noticed it has started coming out more again, but not the handfuls that it was at first post transplant. Tacrolimus, stress, illness, weight loss, so many things can contribute in addition to normal cycles of shedding. Perhaps talk to your team?

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I bought the Biotin gummies 5000 mcg, but got fearful taking another med. Fearful it would interfere with the Tacro and other meds. Did you experience any side effects of taking the Biotin supplement? I think it takes several months to see any change. Thank you, BB

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@crystalfaye

In addition to a Biotin supplement I also use Joico volumizing shampoo. The two work together pretty well!

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Crystalfaye, did you experience any side effects from the Biotin supplement? I am fearful to take another med, as I do not want it to affect the Tacro levels or other med levels. Thank you, BB

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@blbird33

I bought the Biotin gummies 5000 mcg, but got fearful taking another med. Fearful it would interfere with the Tacro and other meds. Did you experience any side effects of taking the Biotin supplement? I think it takes several months to see any change. Thank you, BB

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@blbird33 I am not sure if it affected my Tac levels, they are more stable now and before there were bigger swings. I think the negative thing I read was on one of my follow up kidney biopsy appointment instructions it said to stop taking biotin prior to the appointments. That made me think it could be affecting my labs. So I decided to stop taking it and did not see any increased hair loss in doing so. I truly think it just takes time, about 6 months to see major improvement. It will get better!

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@jennifer0726

@blbird33 I am not sure if it affected my Tac levels, they are more stable now and before there were bigger swings. I think the negative thing I read was on one of my follow up kidney biopsy appointment instructions it said to stop taking biotin prior to the appointments. That made me think it could be affecting my labs. So I decided to stop taking it and did not see any increased hair loss in doing so. I truly think it just takes time, about 6 months to see major improvement. It will get better!

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Jennifer, thank you for your support! I am going to hold off on the Biotin for now and look forward to completing my sixth month at end of April. And I will take in one day at a time, stay positive, and I know this pain will get better as well as dissolving of scar tissue. Using Sutter In Home PT/OT and then outpatient PT/OT, willing to do what it takes to minimize the pain and lose this scar tissue. I am working hard on myself and loving myself. Thank you so much again, BB

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@jennifer0726

Hi @hello1234,
My transplant and bilateral nephrectomy for PKD was 12/7/20, so I am a bit over 1 year post. My Tacrolimus was just reduced to 2 mg am and 1 mg pm. I was very sick with Noro Virus and C. Diff mid February. I am much better, but need to revert to toast and rice off and on. Thankfully, I work from home now! I thought I was losing a bit of hair right before TX, but nothing like after. I avoided dialysis by getting a preemptive living donor transplant, but my function was getting very low. I hope your surgery goes well! It’s wonderful you don’t need it anyone!

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nitazoxanide saved my life with losing 30 pounds after noro for 30 days and catching covid from the hospital. I know am struggling bas from neuro issues noro/covid. I am JC positive and just had a 7t MRI and lumbar Monday.

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@mott1090

nitazoxanide saved my life with losing 30 pounds after noro for 30 days and catching covid from the hospital. I know am struggling bas from neuro issues noro/covid. I am JC positive and just had a 7t MRI and lumbar Monday.

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now*

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@hello1234

@jennifer0726 Congratulations on your pre-emptive transplant in 2020! My transplant was July 2020. I got in the habit of taking my 500mg bid Cellcept and Tacronlimis dosage with food. I am pretty sure if I took the Tac on an empty stomach my dosage would be closer to your low dose. Do you also take 500mg or 1,000mg bid Cellcept with your Tacronlimis?
I was surprised to hear you had Norovirus since I always think of that as the "Cruise Ship" virus. How did you get your Norovirus? I am happy to hear you are on the mend with only an occasional return of your symptoms. I heard that virus takes a while to completely resolve but in time it does, which is the good news. Also, I am happy that you are working from home rather than going into an office. Much safer.
Thank you so much for sharing your experience with me!

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nitazoxanide is the way to get rid of it fast with post transplant, just isn’t talked about much.

I had it for 30 days and got it from my youngest.

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@jennifer0726

It is scary! I mostly eat at home, but occasionally get drive thru, eat out at times when it is less busy like right at opening or mid afternoon. I never eat fresh fruit, salads or veggies out-food must be HOT. The pizza had always arrived very HOT, but it must have been handled by someone with unclean hands. I have groceries delivered to avoid busy stores. I rarely shop in a store anymore. But, I also think we cannot live completely isolated. I am home most of the time since I work here, too. Sometimes I just go for a ride to get out without going in anywhere! Right now I am longing for a pedicure, but nervous about going. Hopefully someday travel will be possible!

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This is accurate! I have such bad anxiety thinking I’ll get food poisoning. I completely understand.

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