Underwent renal transplant. On medicines for back pain, uric acid, erection problem, bp, blood sugar, stomach ache. Advice?
Patient: i am 35 year old male undergone renal transplant on 22/11/2011 after 1 year of hemodialysis . donor is my mother of 64 year After transplant various treatment has been followed 1.5 time plasmapheresis with IVIG 2.treatment for CMV PCR 3.Treatment for border lineACR but the serum cretinine level is still range bound to 1.7-1.9 other problem like back pain,uric acid,erection problem,blood presure & blood sugar controlled with oral medicine,irregular stomach medicine i am taking is pangraf 3mg BD Myfortic 720mg BD Aten 50mg dilzem cd 180mg semcal alfa 500mg xyrolic 100mg septron apriglim-2 gezo-sr 500mg kindly advise Doctor: I would look at your tacrolimus trough drug levels as you seem to be on high dose Dlizem CD+Tacrolimus combination. If your tacrolimus drug levels are more than 5 units talk with your doctor if your tacrolimus dose can be reduced.*** Problems associated with renal transplant are unique to every patients and do not do anything without consulting your personal doctor. This includes what i had suggested you***