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Questions for Dr. Kennedy
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tapering off immunosuppressives
Posted by: Jonathan Singer, DO
Date: September 4, 2000 1:45 AM

A patient is on Cylcosporin, Cellcept, and Prednisone to prevent rejection of a transplanted kidney. Any ideas of how best to taper the medications while maintaining the function of the graft?

RE: tapering off immunosuppressives
Posted by: Ron Kennedy, MD
Date: September 4, 2000 5:08 AM

Yes, follow his doctors instructions. In addition, detoxification and nutritonal treatment with a doctor experienced in these areas can make a big difference. Even if his diet is perfect, his emotional life in perfect order, and even if he is living in a perfectly clean environment (almost impossible) he is still toxic on the drugs.

RE: tapering off immunosuppressives
Posted by: Jonathan
Date: September 5, 2000 4:16 AM

His doctor has no plan to ever get him off the immunosuppressives. Is it possible? How would you do it?

RE: tapering off immunosuppressives
Posted by: Ron Kennedy, MD
Date: September 5, 2000 2:06 PM

Again: follow the doctor's instructions. If he or she (the "patient") must have this medication for life to prevent rejection, then that is part of the bargain to have a new kidney. Still, the immune system can be supported and I refer you to my previous comments. The idea would be to nutralize the toxic side-effects of the drug to the closest degree possible.



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