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

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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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@yani2023

Yes, Tracolimus does a number on hair. After kidney transplant in Dec 2022, hair also fell out in chunks. IT was frightening and yet thank goodness for hair wraps dealing with this situation made it more bearable. Only things was that people automatically assumed I had Cancer and was doing chemo.

Boitin in my opinion does nothing. This is only my opinion. IT maybe different for others. Generally according to my nephrologist team of doctors hair will start to regrow after 5-6 months. This may vary from person to person. IF trying biotin , I found the vitamins perhaps worked better to kick start hair growth.

Don't be surprised I hair comes. out curly. Yes. perhaps rare but it happened in my case. I also have jet black hair and it grew back silver grey. I wasn't psychologically ready to be grey but grateful hair grew back. A few months of adjustment yet I am ok with it now. Once your meds are reduced, yes this make a great deal difference. Tremors also subside. NOT go away completely yet more tolerable. Best of luck and hopefully if my number are normal my doctors will wean me off prednisone. Best of luck. Spring is around the corner and things will get better especially being able to go outdoors.

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yani2023, Maybe I need hair wraps. I think they are fabric wrapped around your hair at night. Correct me if I am wrong. I will find one or make one and see if it helps. Thanks for the idea. Just had Tacro dose increased at now my 4th month Post Transplant due to Tacro levels getting too low. I also had white blood cell level go too low as well. Anyone else have these decrease? They reduced my Myfortic and increased my Tacro. I really have to work at calming down during the day as the Tacro causes more tremors and anxiety shaking. But I love my new kidney too. I am grateful and some days drink camomille tea to help calm me. One doc told me to increase the Metoprolol to help reduce tremors. Have a very good day and thank you. Glad to hear from you, BB

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