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Prevention of organ rejection in renal and liver transplantation with extended release tacrolimus

Authors Reschen M, O'Callaghan C

Received 13 May 2014

Accepted for publication 24 June 2014

Published 2 September 2014 Volume 2014:6 Pages 55—72


Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3

Michael E Reschen, Christopher A O’Callaghan

Henry Wellcome Building, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom

Abstract: Tacrolimus is the key immunosuppressant used to prevent allograft rejection in kidney and liver transplant recipients. Despite the efficacy of tacrolimus and adjunctive immunosuppressants, a substantial number of patients experience episodes of acute rejection and late graft loss. Nonadherence is an etiological factor in both acute rejection and graft loss. In 2007, a prolonged release version of tacrolimus became available that allows once daily administration, thus halving the pill burden compared to the standard twice-daily tacrolimus. An increasing number of studies in de novo transplantation and in treatment conversion have evaluated the pharmacokinetic profile, efficacy, and safety of prolonged-release tacrolimus. We have reviewed the literature on the use of prolonged-release tacrolimus and hope that this will be of value in the design of protocols for transplant immunosuppression.

Keywords: immunosuppression, kidney, hepatic, allograft, adherence

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