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Extending Your Reach

Through Transplant Experience, patients are encouraged to maintain an open dialogue with their healthcare providers about key topics impacting post-transplant health. When patients join the program, they will receive a series of award-winning materials to help them understand their treatment and how to successfully manage their long-term health. A sampling of Transplant Experience materials has been compiled here for your reference.

Booklets

The following booklets are Adobe® Portable Document Format (PDF) files. To open them on your computer, you will need Adobe® Reader®. Please click on the icon to download this program for free.

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Sharing Life

Sharing Life

Addresses common questions about living donation.
   
Prograf and You

Prograf and You

Provides information about what patients can expect from treatment with Prograf and how to optimize therapy.
   
Cholesterol and Your New Organ

Cholesterol and Your New Organ

Explains how cholesterol levels can affect post-transplant health and how to manage their impact.
   
Blood Pressure and Your New Organ

Blood Pressure and Your New Organ

Explains what high blood pressure is and why it is important to measure blood pressure regularly. This booklet also describes the relationship between blood pressure and post-transplant health.


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The information provided on this website is intended for residents of the United States
Indication
  • Prograf® (tacrolimus) is indicated for the prophylaxis of organ rejection in patients receiving allogeneic liver, kidney, or heart transplants. It is recommended that Prograf be used concomitantly with adrenal corticosteroids. Because of the risk of anaphylaxis, Prograf injection should be reserved for patients unable to take Prograf capsules orally. In heart transplant recipients, it is recommended that Prograf be used in conjunction with azathioprine or mycophenolate mofetil. The safety and efficacy of the use of Prograf with sirolimus has not been established.
Important Safety Information
WARNING
Increased susceptibility to infection and the possible development of lymphoma may result from immunosuppression. Only physicians experienced in immunosuppressive therapy and management of organ transplant patients should prescribe Prograf. The physician responsible for maintenance therapy should have complete information requisite for the follow-up of the patient.
  • Prograf is contraindicated in patients with a hypersensitivity to tacrolimus. Prograf injection is contraindicated in patients with a hypersensitivity to castor oil. Patients receiving Prograf injection should be under continuous observation for at least the first 30 minutes following the start of infusion and at frequent intervals thereafter. If signs or symptoms of anaphylaxis occur, the infusion should be stopped.
  • Insulin-dependent post-transplant diabetes mellitus was reported in 11% to 20% of Prograf-treated liver, kidney, and heart transplant patients with no prior history of diabetes mellitus. Black and Hispanic kidney transplant patients were at increased risk. Insulin dependence was reversible in 15% to 45% of patients at 1 year.
  • Prograf has been associated with nephrotoxicity, particularly when used in high doses. In particular, to avoid excess nephrotoxicity, Prograf should not be used simultaneously with cyclosporine. Prograf or cyclosporine should be discontinued at least 24 hours prior to initiating the other. In the presence of elevated Prograf or cyclosporine concentrations, dosing with the other drug usually should be further delayed. Use of Prograf with sirolimus in heart transplant patients in a US study was associated with increased risk of renal function impairment and is not recommended.
  • Mild to severe hyperkalemia was reported in 31% of kidney transplant recipients and in 45% and 13% of liver transplant recipients in the US and European randomized trials, respectively, and in 8% of heart transplant recipients in a European randomized trial and may require treatment. Serum potassium levels should be monitored and potassium-sparing diuretics should not be used during Prograf therapy (see PRECAUTIONS).
  • Neurotoxicity, including tremor, headache, and other changes in motor function, mental status, and sensory function were reported in approximately 55% of liver transplant recipients in the two randomized studies. Tremor occurred more often in Prograf-treated kidney transplant (54%) and heart transplant patients (15%) compared to cyclosporine-treated patients. Seizures have occurred in adult and pediatric patients receiving Prograf. Coma and delirium also have been associated with high plasma concentrations of tacrolimus.
  • The principal adverse reactions of Prograf include tremor, headache, hypertension, gastrointestinal disturbance, abnormal renal function, hyperglycemia, leukopenia, CMV infection, infection, and hyperlipemia.