Transplant anti-rejection medications. What's your advice?

Posted by jolinda @jolinda, Apr 23, 2020

Weight gain? Hair loss? Headaches? Never missed a beat? What has your experience with transplant medications been? Have you developed a methods to deal with a side-effect? Have your meds changed at all over time? What advice do you have for others in our community that may make their experience better?

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@contentandwell

@nimalw I read that for us immunosuppressed people they are considering 3 shots to be the protocol, and then a fourth shot which is our booster. I had my third shot as soon as it was available on August 10th so I am looking forward to my "booster" in February.
JK

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Hi @contentandwell .. I'm in the same boat. Booster in February!

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@nimalw

Thank.you am.taking the same . I have been told there is a likely 4th Dose for us Transplant recepiants

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@nimalw I read that for us immunosuppressed people they are considering 3 shots to be the protocol, and then a fourth shot which is our booster. I had my third shot as soon as it was available on August 10th so I am looking forward to my "booster" in February.
JK

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@saundrella

So, if and when a transplant patient does get neuropathy, is it a permanent, progressive illness? Or does it abate or perhaps even go away once one may be weaned off the drug that caused it at some point? My mother never took any of the drugs you mentioned as she never received a transplant. Her neuropathy was caused by diabetes and she eventually ended up in a wheelchair due to no feeling in her feet. Is that the future with neuropathy as a side effect of an immunosuppressant drug that a transplant patient has to take for a lifetime?

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Saundrella, I'm jumping in to say that I have been taking immunosuppressant drugs since 2009 for my transplant, and no signs of neuropathy. We each come to transplant with different health issues, and there is not a simple standard response as to how anyone of us will react. We do have routine labs drawn to measure the level of the drugs to maintain our necessary dose. And that, too, is an individual number that is specific to us.

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@athenalee

It’s listed as “less common” in Tacrolimus and Cyclosporine, and “more common” for Sirolimus. Although, 56% of people on Tacrolimus get tremors. They all have their side effects. But, it certainly varies among transplant recipients. For me, the meds are just compounding my comorbidities.

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So, if and when a transplant patient does get neuropathy, is it a permanent, progressive illness? Or does it abate or perhaps even go away once one may be weaned off the drug that caused it at some point? My mother never took any of the drugs you mentioned as she never received a transplant. Her neuropathy was caused by diabetes and she eventually ended up in a wheelchair due to no feeling in her feet. Is that the future with neuropathy as a side effect of an immunosuppressant drug that a transplant patient has to take for a lifetime?

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@athenalee

So, no side effects from Sirolimus JK?

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@athenalee No side effects that I am aware of. I do have achy legs at times, in fact a lot, and I have heard that sirolimus can cause that but I'm not sure that is what it is from. They were not a problem until I started walking on pavement during the pandemic. Prior to that I was going to my health club and either using a treadmill or the impact-absorbing track, so I am doubting the pains are a result of sirolimus. I haven't been walking on pavement for a few months now though and they are still a bit achy.

Other than that, no side effects.
JK

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@athenalee

Yes. I was walking 3-5 miles/day, but unfortunately I’m back a work FT and winter is here. But I’m still averaging 1.5-2 each day, plus Qigong exercises and dancing.

What I’ve read for PN and Sjogren’s is exercise is essential. If nothing else, I feel walking helps me adjust to the increasing numbness in my legs and feet.

I primarily do my work at a computer, so sitting is hard. Plus, tremors are my worse challenge and struggling with typing. I use an iPad and Apple keyboard, plus Siri at home. I have to use a small portable keyboard at the office.

How do you find golfing? I would imagine all the walking is beneficial. Does PN make it more challenging?

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Hi . PN is not a issue for me at all . I have been active all my life into various sports throughout my life .
I just accept it and let time be the Healer my surgeon wanted me to golf after 6 weeks post surgery but I held it back till I did about 10 weeks and slowly got into it I only play half the course because but dont want to push it as I am worried about dehydration.

I struggled with Tremors and palpitations in the 1st month as I was on 20mg prednisone. Now am on 10mg . Very little tremors and no palpitations. Avoid coffee that does not help .

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@contentandwell

@deb25 I think it's fairly individual if you need to take other pharmaceuticals along with the basic immunosuppressant like sirolimus. I did take a small dose of prednisone for quite a while (I'm more than 5 years post-transplant) but this past year they finally tried taking me off of it and things went fine so now I just take sirolimus. I haven't taken Cellcept since sometime during my first year post-transplant, before I was switched to sirolimus.

I have had no problems since my transplant other than the creatinine caused by tacrolimus so what they are doing seems to be working perfectly.
JK

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So, no side effects from Sirolimus JK?

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@saundrella

Is neuropathy a typical response to the post liver transplant medications?

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It’s listed as “less common” in Tacrolimus and Cyclosporine, and “more common” for Sirolimus. Although, 56% of people on Tacrolimus get tremors. They all have their side effects. But, it certainly varies among transplant recipients. For me, the meds are just compounding my comorbidities.

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@deb25

Does Sirolimus cause you any bad side effects that you did not have with tacro? I think tacro has caused peripheral neuropathy in my feet and legs. I want to switch to Sirolimus. Do you have to take cellcept and prednisone?

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@deb25 I think it's fairly individual if you need to take other pharmaceuticals along with the basic immunosuppressant like sirolimus. I did take a small dose of prednisone for quite a while (I'm more than 5 years post-transplant) but this past year they finally tried taking me off of it and things went fine so now I just take sirolimus. I haven't taken Cellcept since sometime during my first year post-transplant, before I was switched to sirolimus.

I have had no problems since my transplant other than the creatinine caused by tacrolimus so what they are doing seems to be working perfectly.
JK

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@athenalee

Yes. I was walking 3-5 miles/day, but unfortunately I’m back a work FT and winter is here. But I’m still averaging 1.5-2 each day, plus Qigong exercises and dancing.

What I’ve read for PN and Sjogren’s is exercise is essential. If nothing else, I feel walking helps me adjust to the increasing numbness in my legs and feet.

I primarily do my work at a computer, so sitting is hard. Plus, tremors are my worse challenge and struggling with typing. I use an iPad and Apple keyboard, plus Siri at home. I have to use a small portable keyboard at the office.

How do you find golfing? I would imagine all the walking is beneficial. Does PN make it more challenging?

Jump to this post

Is neuropathy a typical response to the post liver transplant medications?

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