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German researchers
have concluded that liver transplant recipients may be able to
completely avoid the use of immunosuppressive steroids after transplantation
by taking a combination of Prograf and mycophenolate mofetil.
The researchers
at Georg-August University, reporting on a study of 30 adult patients
in the journal Transplanation, said the use of the two anti-rejection
medications proved "effective and safe in terms of patient
and graft survival as well as incidence and severity of rejection."
"Patient
and graft survival at two years was 86.7 percent and 83.9 percent,
respectively," reported lead researcher Burckhardt Ringe.
The researchers
said about a quarter of the patients experienced acute graft rejection
related to low blood levels of Prograf. They said all of the rejection
episodes were reversed by temporarily giving the patients steroids.
They also
reported acute kidney failure in one third of the patients related
to high blood levels of Prograf. They concluded that "close
drug monitoring" is necessary to avoid under- or over-immunosuppression.
Other
Sources: Transplantation
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