If the patient fails to respond in a positive or adequate manner following a treatment trial with CsA for 6 to 12 weeks, then initiating treatment
with tacrolimus may be indicated.
Not exact matches
Wartman stabilized his GVHD
with high doses of prednisone and the IL - 2 — dampening drug
tacrolimus, but that wasn't enough suppression to resolve his symptoms.
«Tom persisted in using
tacrolimus despite initial problems
with toxicity that discouraged his peers, and he turned out to be correct,» describes Nicholas L. Tilney of Harvard Medical School, current president of the Transplantation Society and author of the 2003 book Transplant: From Myth to Reality (Yale University Press).
They found that a combination of two compounds -
tacrolimus and sirolimus - allowed the cells to survive for up to 28 days in the mice
with normal immune systems.
The kidney toxicity seen
with cyclosporine and
tacrolimus is particularly problematic in kidney transplant recipients and may negate a kidney transplant.
In addition,
tacrolimus was also effective in some dogs in which treatment
with CsA had failed.
All dogs previously diagnosed
with KCS and controlled
with topical CsA were successfully switched to
tacrolimus therapy.
In addition, high toxicity
with systemic administration has precluded the use of
tacrolimus in dogs for most situations in veterinary medicine and concerns regarding the carcinogenic potential of
tacrolimus applied to the skin have recently been raised.
In addition, combining
tacrolimus with CsA in cases refractory to each administered alone may help improve overall response as
tacrolimus has been shown to act synergistically
with CsA in suppressing the proliferation of T cells in vitro.