Paper Details 
Original Abstract of the Article :
Cyclosporine has a narrow therapeutic window requiring close monitoring to ensure adequate immunosuppression while avoiding nephrotoxicity and other side effects. Pharmacokinetic studies have suggested that cyclosporine levels at 2 hours postdose (C2) is the best single time point to predict area un...See full text at original site
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引用元:
https://doi.org/10.1016/j.transproceed.2009.06.155

データ提供:米国国立医学図書館(NLM)

Cyclosporine Levels: A Balancing Act in Kidney Transplantation

Kidney transplantation is a life-saving procedure, but managing immunosuppression is crucial for success. Cyclosporine, a powerful immunosuppressant, is a double-edged sword, offering protection against rejection but carrying the risk of nephrotoxicity and other side effects. This study explored the relationship between cyclosporine levels and side effects in kidney transplant recipients. The researchers analyzed data from 225 patients receiving cyclosporine-based immunosuppression, measuring cyclosporine levels at two different time points: immediately after a dose (C0) and two hours after a dose (C2). They found a significant correlation between cyclosporine levels and side effects such as hyperkalemia, hyperuricemia, hypercholesterolemia, and high systolic blood pressure. Interestingly, both C0 and C2 were equally effective in predicting these side effects.

Cyclosporine Dosage: A Balancing Act

The study highlights the importance of close monitoring of cyclosporine levels in kidney transplant recipients to minimize side effects while maintaining adequate immunosuppression. The findings suggest that both C0 and C2 levels are valuable indicators for predicting side effects, providing clinicians with valuable tools for optimizing treatment regimens.

Navigating the Desert of Immunosuppression

This study emphasizes the need for a delicate balance in managing immunosuppression after kidney transplantation. Just as a traveler navigating a desert must carefully manage their water supply to avoid dehydration or overhydration, clinicians must meticulously adjust cyclosporine dosage to ensure optimal immunosuppression without triggering harmful side effects. This research provides crucial insights for clinicians, enabling them to guide their patients through the complex landscape of immunosuppression with increased precision and care.

Dr.Camel's Conclusion

The desert of immunosuppression is a vast and treacherous terrain, requiring careful navigation to ensure patient safety. This research sheds light on the crucial role of cyclosporine levels in predicting potential side effects, offering clinicians a roadmap for optimizing treatment and ensuring a smooth journey through this challenging landscape. It's a reminder that knowledge and vigilance are essential for maximizing the benefits and minimizing the risks of immunosuppression in kidney transplantation, ultimately ensuring the well-being of these patients.

Date :
  1. Date Completed 2010-01-11
  2. Date Revised 2013-11-21
Further Info :

Pubmed ID

19715910

DOI: Digital Object Identifier

10.1016/j.transproceed.2009.06.155

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PICO Info
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Languages

English

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