Esomeprazole vs pantoprazole effects on cyclosporine levels in kidney transplantation: A randomized clinical trial.

Author: Abo-ElazmSoheir, BchariWaleed, El HamamsyManal, El SharkawyMagdy, El-BohyDoaa, MancyAzza, ShahinSara

Paper Details 
Original Abstract of the Article :
Renal allograft survival requires multiple immunosuppressive drugs. This strategy may lead to gastric complications that necessitate gastro-protective medications, notably, proton pump inhibitors (PPI). This study aimed to compare the influence of pantoprazole and esomeprazole on serum cyclosporine ...See full text at original site
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引用元:
https://doi.org/10.1111/1744-9987.13464

データ提供:米国国立医学図書館(NLM)

Esomeprazole vs. Pantoprazole in Kidney Transplantation: Balancing the Sands of Immunosuppression

The field of transplantation medicine relies heavily on immunosuppressive medications to prevent rejection of the donated organ. This study investigated the impact of two proton pump inhibitors (PPIs), esomeprazole and pantoprazole, on cyclosporine levels in kidney transplant recipients. The researchers conducted a randomized clinical trial comparing the effects of these PPIs on cyclosporine trough levels, a key indicator of drug efficacy. The study found that pantoprazole, unlike esomeprazole, had a significant impact on cyclosporine levels, potentially affecting the allograft function. The researchers highlighted the importance of careful monitoring and dose adjustments of PPIs in kidney transplant recipients, particularly with pantoprazole, to ensure optimal immunosuppression and transplant success.

Navigating the Delicate Balance of Immunosuppression

The study's findings underscore the delicate balance between immunosuppression and the potential side effects of medications. Just as a camel must carefully navigate the shifting sands of the desert, healthcare providers must carefully manage the use of PPIs in kidney transplant recipients to ensure optimal outcomes. The study's findings provide valuable insights into the potential impact of PPIs on cyclosporine levels, emphasizing the need for vigilant monitoring and dose adjustments.

Protecting the Transplant: A Guide to Post-Transplant Care

Kidney transplant recipients must work closely with their healthcare providers to manage their medications and ensure optimal transplant function. Just as a camel must adapt to the harsh desert environment, patients must embrace a healthy lifestyle, including a balanced diet, regular exercise, and stress management, to support their transplant and overall well-being. Open communication with healthcare providers is crucial for addressing any concerns or potential side effects associated with medications.

Dr.Camel's Conclusion

The study's findings highlight the importance of individualized treatment approaches in transplantation medicine, emphasizing the need for careful monitoring and dose adjustments of medications to ensure the success of the transplant. Like the resilience of a camel traversing the vast desert landscape, patients with kidney transplants can thrive with the right care and support, ensuring a long and healthy life after transplantation.

Date :
  1. Date Completed 2021-09-14
  2. Date Revised 2021-09-14
Further Info :

Pubmed ID

31856374

DOI: Digital Object Identifier

10.1111/1744-9987.13464

Related Literature

SNS
PICO Info
in preparation
Languages

English

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