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

@ninalw, Glad to hear that your nephrologist is looking into this. It sounds like you are getting good care. I understand, now why you are concerned about the tacrolimus dosages. I have my hopes up that you will have some answers on your next visit.
It sounds like you are doing very well after the transplant. I am amazed at you playing golf already! As for me, I had a lot of reconditioning to do because I was dependent on a wheelchair and walker prior to my transplant. I was able to go to my son's wedding at 4 months post transplant, and to go on some hiking trails at 9 months.

Is tacrolimus your only immunosuppressive medication?

I got a fistula about 6 months before my 2nd transplant. It definitely has gotten larger. It only bothers me at night. I don’t want to hear my heart beat when I’m trying to fall asleep, but I have no plans to shut it down. That’s a decision for you to make in consultation with your doctor.

Thank you so much for this very comforting information @tjdog ❤
Meeting you has made me very happy and very hopeful that I may get 20 years from my new kidney!! I just turned 61, so 25 years would super wonderful.
Question- Did you have a hemodialysis fistula in your arm before your transplant? My fistula is growing too large and I am planning on having surgery to shut it down. Do you have any experience or know anyone that had that surgery?

A creatinine of 1.0 is excellent! Mine goes up and down between 1.4 and 1.7. My latest BUN is 31. But my doctor is fine with that. My problem is I don’t always drink enough water. They want 8-10 cups daily. My creatinine was never under 2.0 with my first transplant in 1994. And it lasted almost 25 years. So you never know. Everyone reacts differently to the transplant and the drugs.

Thank you so much @tjdog 😊 I am very happy to meet you. You are a fabulous and unique combination of a recent kidney transplant patient AND a person with a wealth of knowledge from years of transplant experience! ❤ I am happy to report that my kidney function is good. My creatinine is 1.0 and my BUN is 21. Is that close to what you are experiencing too?

Hello @hello1234, I hope you are doing well with your new kidney. Both of my transplants were from deceased donors. As for biopsies, I think I got 2 after my first transplant and so far I’ve had 2 after my transplant in 2019. Both of the biopsies on my second transplant were routine. Mayo in AZ has follow up appointments 1 year and 2 years post transplant that includes an ultrasound biopsy. I’ve been fortunate to not have any problems with rejection. Now, my doctor uses lab results to see how my kidney is doing. They monitor my creatinine levels every 2-3 months. They would probably do a biopsy if my level started going up on every test. So far that hasn’t happened. Be happy to answer any questions you have.

Dear I am in Asia . Here we go direct to Nephrologist weekly visits now it's by weekly . I had a mild elevated creatnine in my last test scan was done kidney was fine but bladder retention was there so the doctor thinks it could be the retention that's causing the creatnine spike. He put me on urimax feel much better after taking it . Next test this Saturday. Hope it has settled down . I did pre emotive transplant never did dyalisis. I feel the drug dosage is high . I feel really good just finished golf. Hate creatnine spikes !!! I geuss who likes it !

Good Morning, @nimalw. Welcome to Mayo Connect with a special Congratulations on your recent kidney transplant!
My combined liver/kidney transplant occurred 12 years ago, and I needed dialysis before my transplant because of acute kidney failure along with end stage liver failure. I can only remember immediately feeling better upon waking from the surgery , and relieved that I did not require anymore dialysis. I remember that my Creatinine level was normalized right away because my kidney doctor 'danced' into my room while singing "0.8" over and over. I am only one of many patients, so my situation is not representative everyone.
As for bladder retention, I did not experience any. I know this because when the catheter was remover, and I was on my own to pass urine, the nurse performed ultrasound bladder clearance scans. These are also performed annually as part of my routine annual evaluation.
At 2 months post transplant, and at any time and every time you are concerned/or just have questions, I encourage you to communicate with your transplant team. Did you transplant at Mayo? Are you registered on the patient portal? It is the perfect place to ask non emergency questions.

When do you have a follow-up with your transplant team?

Good morning @tjdog 😊 Wow, you definitely have years of experience with your kidney transplants. It sounds like your first kidney functioned well from 1994 to 2017, so 20 years, right? That's wonderful! Did you have a living donor?
I am a one year post kidney transplant patient on MMF and Tac too.
Congrats on your new transplant in 2019! My question is, what has been your experience with protocol kidney biopsies? How often did you have them and were they helpful for "catching" signs of rejection or problems or did your docs use other tests to diagnose? Thanks @tjdog

Holding pattern is a good sign . You are long way from dyalisis . Wish you all the best I know it's hard on the mind I battled with CKD for 20 yrs