hi all....actually i live in south india... i sweat a lot since childhood and am 18 now...i had been having whitish/discoloured skin on the left side of my groin area since some months now...it etches sometimes not always..dont know the reason for it... how to treat it?is it any fungal infection ? i scratched it sometimes before dry white flakes fall but the patch is spreading slowly i think plz help soon ....!!
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?
Treatment is by topical steroids or oral therapy of corticosteroids in severe cases. Topical creams like tacrolimus ointment and pimecrolimus cream are also useful. They are available under prescription and hence please get an evaluation done from a dermatologist. Till that time, ensure to apply vaseline or Aveeno lip balm daily.
It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided.
For dosage you have to consult a dermatologist. Photodynamic therapy is available in India at all leading skin centres in metro cities.
It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.
my daughter aged 13 years have only one white patch on knee she is prescribed melgain lotion tacrolimus ointment 1%, dicaris tablet50 mg(levamisol 50 mg) melanocyl tablets (methoxasalen) o.d I am confused about two different dermatologists prescriptions one has advised melgain in night other has in day followed by sun exposure. one has written melanocyl tab once a day other has not written this tab.
Both eyes had a schirmer test of 0. (interestingly though, a few days before at the vet, the schirmer test was 12 in both eyes). Now 6 weeks later, the right eye has a 6 and the left eye still has 0. The specialist reviewed all of the options with us - cyclosporine, pilocarpine or tacrolimus with sirolimus. She said that very rarely has she seen any dog respond to cyclosporine after not responding to tacrolimus.
m having this problem since many years and not getting any proper solution. When i was in India i had the same problem and now living in Canada for the last seven years but this problem has never ended and getting worst now. Because of this problem, i have also gone through small bottom lip surgery suggested by Indian doctor but it turned out nothing and having the same issue. I have no other problem on any part of my skin except of my Lips.
His cretanine is almost 1.4 or around. My question is that should he continue his TACROLIMUS tablets or should switch to some other tablets which are safe for kidneys?
Secondly , in my sorrounding there is an opinion that lowering the TACROLIMUS dose also let the liver enzymes to increase? Do you favour such opinions as my father has lowered his tacrolimus dose to keep his kidneys safe?
Sir ,will wait for your kind reply.
Thanks.
there are prograf assistance programs that the company offers. If this is not feasible than using other cheaper medications such as verapamil for example for HTN for example will alllow much lower doses of prograf to be used (it delays metabolism of the medication) and thus it comes out cheaper.
is cryoablation available in india?......
AS I HAVE SUFFERED BREATHLESSNESS AND WALKING PROBLEMS,I HAVE BEEN TAKEN OFF TACROLIMUS AND PUT ON NEORAL-YET THERE IS NO IMPROVEMENT IN MY CONDITION.IS THERE ANY OTHER ANTI REJECTION DRUG THAT YOU WOULD RECOMMEND (I HAVE HAD A LIVER TRANSPLANT RECENTLY)? IN YOUR EXPERIENCE,CAN MY SITUATION BE IMPROVED?THANKS.
and the Creatinine level at that was 1.5 - 1.6. The doctor reduced the tacrolimus dose to .5 mg morning and evening and since then the Creatinine level is slowly increasing. It is now between varying between 2.1 and 2.4. The TAC level is also low and reduced from 4.5 to 3.4 to 2.4 when last checked 2 months ago. Had a biopsy 2 months back and the report was OK.
Pl suggest.
Hello! My son is 4month 10days today. My son was born in indonesia and uptill 3months he had his vacvinations in indonesia itself. Since one month i have come to india for vaccation and his 4month vaccination for DTP- HIB and Polio is pending. I m concerned about getting him vaccinated here in india as brand for vaccination will be different from indonesia.
Is it ok if i get my son vaccinated with different brand in india?
currently there is no data on its use in the post-liver transplant setting. i would be extremely cautious about using it until more data is available especially since its purported effects on tacrolimus and cyclosporine metabolism are extreme. i am quite confident that there will be clinical trials coming down the road extremely soon.
50 yo male with kidney transplant in March, 2011 from a cadaver, donated kidney.
Tacrolimus 2.5mg BID
Mycophenolate 500mg AM , 250mg PM
No after affects post transplant, no illnesses.
Maintaining a healthy weight and on a vegetarian diet.
All other lab levels are WNL.
Recommended
