Hi @sec1205 That’s a fairly high tacro trough considering the low dosage your’re on. What is the goal your transplant team is shooting for? One of the side effects of a higher tacro trough is mental status change.
You had only mentioned being on progesterone along with the low dose of tacro. But if you’re also on Cellcept and or other meds too, there can be an interaction in medications where one will cause another to not metabolise through the system as quickly, causing a higher trough.
I had that happen when switching from an IV form of antifungal to oral Pozaconozol. My normal trough was 7. With the same dosage of tacro but the new oral med, my trough zoomed up to over 21 + within a couple of days! I was a royal mess and my kidneys went into faiure.
Have you spoken with your team about adjustments to the tacro?