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Effects of Converting Tacrolimus Formulation from Twice-Daily to Once-Daily in Liver Transplantation Recipients
Joint Authors
Lee, Chen-Fang
Lee, Wei-Chen
Wu, Tsung-Han
Thorat, Ashok
Soong, Ruey-Shyang
Wu, Ting-Jung
Chou, Hong-Shiue
Chan, Kun-Ming
Cheng, Chih-Hsien
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-07-13
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Typically, tacrolimus is administrated twice daily.
Prolonged-release tacrolimus is the once-daily formulation and may be more convenient for patients.
Experience with the administration of the once-daily formulation is still limited.
This study enrolled 210 liver transplant recipients who had stable liver function and converted tacrolimus from a twice-daily to once-daily formulation on a 1 mg to 1 mg basis.
Among 210 patients, seven patients (3.3%) were withdrawn from the once-daily formulation due to allergy and fatigue.
For the other patients, the trough concentration after converting to the once-daily formulation was lower than that of the twice-daily formulation.
Liver enzymes were mildly elevated in 3 months after formulation conversion and serum creatinine and uric acid were mildly decreased.
Seven patients (3.4%) had clinical suspicion of acute rejection after the formulation conversion and three of them were caused by nonadherence.
155 patients (76.4%) experienced a more convenient life with an increase of social activity.
Forty-seven patients (23.2%) experienced the convenience of once-daily formulation during overseas trips.
In conclusion, tacrolimus can be safely converted from the twice-daily to the once-daily formulation for most stable liver recipients.
Acute rejection may occur in a minority of patients during formulation conversion and should be carefully monitored.
American Psychological Association (APA)
Thorat, Ashok& Chou, Hong-Shiue& Lee, Chen-Fang& Soong, Ruey-Shyang& Wu, Tsung-Han& Cheng, Chih-Hsien…[et al.]. 2014. Effects of Converting Tacrolimus Formulation from Twice-Daily to Once-Daily in Liver Transplantation Recipients. BioMed Research International،Vol. 2014, no. 2014, pp.1-7.
https://search.emarefa.net/detail/BIM-458750
Modern Language Association (MLA)
Thorat, Ashok…[et al.]. Effects of Converting Tacrolimus Formulation from Twice-Daily to Once-Daily in Liver Transplantation Recipients. BioMed Research International No. 2014 (2014), pp.1-7.
https://search.emarefa.net/detail/BIM-458750
American Medical Association (AMA)
Thorat, Ashok& Chou, Hong-Shiue& Lee, Chen-Fang& Soong, Ruey-Shyang& Wu, Tsung-Han& Cheng, Chih-Hsien…[et al.]. Effects of Converting Tacrolimus Formulation from Twice-Daily to Once-Daily in Liver Transplantation Recipients. BioMed Research International. 2014. Vol. 2014, no. 2014, pp.1-7.
https://search.emarefa.net/detail/BIM-458750
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-458750