Transplant anti-rejection medications. What's your advice?
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?
Interested in more discussions like this? Go to the Transplants Support Group.
Currently, 6 mg/day. I was reduced to that level in early April. I’m hoping to get it reduced again at my next transplant visit in midJuly. I’m very strict on taking my meds at the same time and on an empty stomach for best metabolism. Fortunately, my stomach seems to handle this okay. My one year anniversary is August 20…very exciting!
Thank you for your encouraging words. And, congratulations on your two year transplant anniversary! I hope you can continue to be well…with no more surgeries! I have been able to reduce Tac from 8 mg to 6 mg, but increased Mycophenolate to 2000 mg/day.
My transplant doctor doesn’t believe my increasing tremors and neuropathy are due to meds, however. So, I’m now seeing a neurologist and rheumatologist who believe my symptoms are due to Sjogren’s and possibly some other autoimmune response. Like you I’m dedicated to exercising, and I’m eating well and doing everything to keep my new liver healthy. I’ve also got pretty severe osteoporosis, so am now on meds for that.
I have my next appointment with my transplant team in July. I’m hoping I have more insights on my autoimmune issues by them so I can discuss potential impacts on my liver and treatments that don’t interfere with our anti rejection meds. I’m managing pain currently with Gabapentin. It seems like a lot of other meds recommended for neuropathy interact with Tacrolimus.
What is your Tacrolimus level from your blood tests? Is it within range?
I'm a Liver and Kidney transplant patient (June 2019) I also had Carotid artery surgery (Aug 2019) and a double by-pass (Oct 2020). I'm a diabetic and I Have Neuropathy Before Transplant and ot's still the same. I use Gabapentin. I also had the tremors, even fell - after I Tapered off Prednisone and my Tac and Cellcept were reduced (after 6 months) - I improved significantly. I started Pool Walking as soon as possible. Now I'm on 1000mg Cellcept and 5 mg Tac daily. Keep going - things will improve and find some good neuropathy management. Also keep asking questions of your transplant team, they are Great and will be a source for you.
@cania, If my math is correct, You must be near the date to celebrate your 19th transplant anniversary. Please accept my sincere congratulations.
Did you do anything special to honor this day?
Thank you everyone for the sharing of your experiences and insights. I’m feeling more comfortable about the knowledge I can bring to my neurologist appointment. It is very much a daily struggle, but I know that my alternative would have been death. So, the blessings of my new liver are always in the forefront of my thoughts. And, the support and guidance I have found through this group also helps me remain strong, especially during these isolating and difficult times!
Post transplant 18 years. In a few months will be 19 years.
No complications from the start of my transplant up to now.
I take 3mgs of prograf in the morning w/250mgs of Cellcept at night
&
2mgs of Prograf at night w/ 250mgs of Cellcept.
My immunosuppressived are brand name. Cannot take generic
@athenalee , In my case the neurologist asked a lot of questions about my history before transplant. I asked about reaction to tacrolimus so they switched me to cyclosporine. this did not help with the tremors in my speech. side affects were a lot worse on cyclosporine. they moved me back to tacrolimus. ask about changing medication, The Neuropathy comes and goes. The Neurologist did not find anything wrong. It did take about a year for the body tremors and drop foot to stop. i am still struggling with the speech. Stay strong and God Bless
@jerrydrennan @lisamb @livertrex, what questions should @athenalee prepare for her consultation with the neurologist?
Yes, my liver transplant was a year ago. I was also dizzy, but i had all the symptoms you describe. They all seem to finish over the months. Walking helped me the most. I do take magnesium. However the neuropathy still lingers. I went to the neurologist did all the tests. In the end it just takes time.