my father had a liver transplant a year ago and is all fit till now.but now his liver enzymes,sgpt etc are elevated.
lets suppose if it is hcv reccurance so wat should be done now?
kindly help me sir.
it wouldnt be unusual if the HCV has come back. Its more the exception than the rule. as long as its not severe, which a liver biopsy which show, we can wait things out until better treatments are studies and available.
sir thanku so much for your reply.
let me make the picture a bit more clear to u and ask for your opinion then.my father is a post liver transplant patient. almost an year has pased .Now along with all he has got renal impairment problem. His cretanine is almost 1.4 or around. My question is that should he continue his TACROLIMUS tablets or should switch to some other tablets which are safe for kidneys?
Secondly , in my sorrounding there is an opinion that lowering the TACROLIMUS dose also let the liver enzymes to increase? Do you favour such opinions as my father has lowered his tacrolimus dose to keep his kidneys safe?
Sir ,will wait for your kind reply.
mild creatinine elevations are not uncommon this long after transplantation. minimizing prograf is always best as long as it doesnt precipitate rejection. I think a liver biopsy would definitely tell us what is going on, so that if no rejection is seen the team would feel more comfortable in lowering the prograf dose.
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