Self perception affecting adherence to drug regimen following renal transplantation |
| |
Authors: | Trevitt R Whittaker C Ball E A |
| |
Affiliation: | Royal London and St. Bartholomew's Hospitals NHS Trust, United Kingdom. |
| |
Abstract: | The patient, a chronic cannabis user, found it increasingly difficult to tolerate the side effects of the medication on her appearance. Rejection in the early post-transplant period meant that immunosuppression could not be further reduced. We were able to avoid a catastrophic self-initiated cut in immunosuppression, and withdrawal of steroids was carried out according to a schedule supervised by the clinic. Cellular rejection resulted and was treated with i.v. methyl prednisolone and conversion from cyclosporin micro-emulsion (Neoral, Novartis) to tacrolimus (Prograf, Fujisawa) and from azathioprine to mycophenolate mofetil (CellCept, Roche). |
| |
Keywords: | |
本文献已被 PubMed 等数据库收录! |
|