Dear Sir,
I after almost 8months of itching finally a blockage in the anterior duct is detected along with the posterior one. 3months back ERCP was done
and liver engymes are perfectly normal.
But due to high dose of tacrolimus the creatinine is gratually on rise(it is now around 1.9). 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).