mycophenolate dosage

I am being successfully treated for a rare autoimmune condition with 15 mg prednisone and 1 gr mycophenolate daily. Although mycophenolate use involves a risk of opportunistic HSV infections, I was not warned about this. I recently had sex WITH A CONDOM with a partner whose status for HSV infection is unknown. Within about a day, I had developed numerous lesions. These spread rapidly and my doctor said they had an appearance consistent with HSV.

I can sort of answer your first question. Mycophenolate mofetil (MMF) or Cellcept has been extensively researched for its use in myasthenia gravis. Also, it carries a FDA black box warning that it may increase your chances of infection, lymphoma and congenital malformations (for pregnant women). Also, its optimal dose is yet undecided. Pyridostigmine (Mestinon) is the usual first line treatment for MG.

i do not think that the loose bowel movements are directly related to the transplant itself. they could be from the medications such as mycophenolate or ursodiol. sometimes certain infections can also contribute. If the liver tests are OK, then the loose bowel movements are not from the liver.

additional agents such as mycophenolate (cellcept) may be necessary or in cases of severe rejection a medication such as thymoglobulin may be needed.

My doc is trying to reduce the dose. Since I was on tacrolimus only(as Mycophenolate causes TLC to go down in two occasion), sirolimus 1mg is started along with reduced tacrolimus(2mg BD, Tac level ~4.5). But the creatinine is still high(1.8). It seems some side effect of Sirolimus is also coming as the TLC is 3400 and platelet is 80,000. What do you suggest to bring creatinine under control? What is the way to determine the exact required dose of tacrolimus?

The standard therapy options include intravenous immunoglobulin and plasmapharesis, corticosteroids, azathioprine, cyclophosphamide, etanercept, mycophenolate mofetil, interferon alpha 2a and tacrolimus. Current ones are interferon beta 1a, rituximab, and high dose cyclophosphamide. Your neurologist needs to apprise you of the long-term side effects since prolonged therapy are required. Botox shots are not known to be used in therapy.

Hi all My wife has SLE which about 8 months ago began to come undercontrol with mycophenolate.

t respond to prednisone or azathioprine, your doctor may prescribe stronger immunosuppressants, such as mycophenolate (CellCept), cyclosporine (Neoral, Sandimmune, others) or tacrolimus (Prograf). --------------------------------------------------------------------------------------------------- When medication fails to stop the progression of cirrhosis eventually a liver transplant must be considered. This is another reason to also seek treatment with a transplant facility.

And immune suppresant mycophenolate for 6 months. I am grateful for your thoughts. Apologies in delay replying I have been unwell.

I am not on Cellcept which is Mycophenolate Mofetil 1g morning and 1g night. This is a fantastic immunposuppressant. Basically what I am telling you is that at any time your body cannot any longer tolerate one drug, there is always another waiting. The one I am on now is more 'pure' in other words there are less chemicals in in to effect the liver. It might be worth a mention if you are uncertain but many people are able to tolerate your medication for many years.

however, there is no documented increased cancer risk specifically with the use of long-term mycophenolate use. the less immunosuppression one takes over time, the better however.

The same rules apply as with the initial adjustment period, so to be fair, you should give the medication another 4-6 weeks after your dosage was increased. Many times improvements can be seen before that, but to be safe, being that everyone responds differently to medications, 4-6 weeks will ensure you've given it ample time. If after that time, you STILL aren't seeing improvements, then it's definitely time to speak with your doc and reevaluate your regimen.

please let me know if the dosage i am taking i.e. 1/4 of 20 fluoxetine and 5mg olanzapine combo and 3/4 lorazepam is high or low.

83, The doctor has now increase my weekend dosage to 100mcg but I still feel this is not enough. I feel 125mcag along with 100mcg every other day would be more suitable for me. Please advise as I'm concern about about my baby.

76) I was feeling a little bit hyper on this dosage. I was nervous, not sleeping , etc. I think that I seem to do better when my TSH is a little higher. I already had 100 mg of Synthroid, so I started taking the 100's, with the knowledge of my doctor, but by day 3, I was crying, emotional, and not feeling good at all. What does this mean? Was the 100 already not enough or should I try maybe alternating the 112 and 100, or does this mean that I need to stay on the 112?

If the doctor prescribed that dosage, then I would trust him/her. Zoloft is typically prescribed from 50-200mg, so your son is taking a 'normal' dosage in my opinion. I was on Zoloft a couple of years ago and had no major problems coming off of it. Just ensure when it is time to come off the medication work with your doctor and taper down slowly.

Thyroid disease and what medication/dosage that works to alleviate symptoms is just as individual as you are. Barb's right when she said the healing takes time. I think you are doing the right thing, going up slowly and keeping track of how you feel, but try to relax a little, even though I know that's hard to do when you don't feel well. I wish I'd found this forum years ago, it's been very helpful.

Billydude and cudagirl: I did some research, and "grade" does play into diagnostics of T-cells and auto-immune related conditions. It appears from what I read to be used most often with cancers and HIV but can be used with any auto-immune condition. What I could not find was a chart of what was a bad or good level. Without that kind of comparison, it's like not knowing anything at all. Billydude: You said that you take Cellcept/Mycophenolate for Sjogren’s?

Also, I have IgA nephropathy and have been on low dose immunosuppressant (mycophenolate mofetil 250 mg twice daily) for the past 1.5 years. 4 days ago, I noticed a little bump in on my labia minora. and I thought maybe it was a boil and tried to break it. It is now pus filled and looks like a zit. its just the one. I have no tingling or itching tho there is some pain now after i messed abt with it which is kinda like the pain i feel with zits anywhere.

Mycophenolate dosage

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