monitoring cyclosporine absorption: a step beyond therapeutic drug monitoring

نویسندگان

po-chang lee national cheng kung university hospital, taiwan +886-914255380, [email protected]; national cheng kung university hospital, taiwan +886-914255380, [email protected]

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Monitoring Cyclosporine Absorption: A Step Beyond Therapeutic Drug Monitoring

which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. In their recent large, retrospective, cross-sectional study with 7702 renal-transplant patients, Einollahi et al. showed that cyclosporine (CsA) absorption (CA) steadily increases over 3 years post transplant (1). They also indicated that despite the day-today and inter-in...

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Immunosuppressants require therapeutic drug monitoring because of their narrow therapeutic index and significant inter-individual variability in blood concentrations. This variability can be because of factors like drug-nutrient interactions, drug-disease interactions, renal-insufficiency, inflammation and infection, gender, age, polymorphism and liver mass. Drug monitoring is widely practiced ...

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Therapeutic Monitoring of Cyclosporine*f

Therapeutic monitoring of immunosuppressive therapy with cyclosporine is a critical requirement because of intraand interpatient variability of drug absorption, narrow therapeutic window and drug induced nephrotox­ icity. The most widely used procedure involves measuring trough concen­ trations of cyclosporine (CsA) parent drug in whole blood using a specific monoclonal immunoassay. Trough conc...

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Therapeutic drug monitoring

(Suggestions are based on Level III and IV evidence) • In both adults and children, C2 monitoring of CSA is superior to C0 as a predictor of AUC 0–4 and AUC 0–12. The C3 level is marginally superior to C2 for AUC 0–12. • Targeting AUC 0–4 levels for CSA of greater than 4400 ng/mL or C2 levels of greater than 1.5 by the end of the first week post transplant is associated with less acute rejectio...

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عنوان ژورنال:
nephro-urology monthly

جلد ۵، شماره ۱، صفحات ۷۱۲-۷۱۳

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