Conversion from cyclosporin to azathioprine 3 months after renal transplantation--is it safe? 1986

M J Cassidy, and E Irving, and C R Swanepoel, and M D Pascoe, and R van Zyl-Smit, and J E Jacobson

In 26 renal allograft recipients treated with low-dose steroids and cyclosporin A (CyA) the CyA was withdrawn after 3 months and azathioprine substituted. Seventeen patients (65%) had no rejection episodes after stopping CyA (mean follow-up of 13 months). Only 2 patients (7.7%) developed acute rejection episodes in the first month after withdrawal of CyA. In 1 the rejection was easily reversed with intravenous methylprednisolone but in the other CyA had to be reintroduced; graft function then improved. Despite the very low dose of CyA used, a comparison of the mean plasma levels of urea and creatinine in the month before and after stopping CyA revealed a significant fall (P less than 0.001). The findings suggest that this policy is safe and avoids the potential hazards of long-term CyA.

UI MeSH Term Description Entries
D008297 Male Males
D008775 Methylprednisolone A PREDNISOLONE derivative with similar anti-inflammatory action. 6-Methylprednisolone,Medrol,Metipred,Urbason,6 Methylprednisolone
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011184 Postoperative Period The period following a surgical operation. Period, Postoperative,Periods, Postoperative,Postoperative Periods
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D003524 Cyclosporins A group of closely related cyclic undecapeptides from the fungi Trichoderma polysporum and Cylindocarpon lucidum. They have some antineoplastic and antifungal action and significant immunosuppressive effects. Cyclosporins have been proposed as adjuvants in tissue and organ transplantation to suppress graft rejection. Cyclosporines
D004359 Drug Therapy, Combination Therapy with two or more separate preparations given for a combined effect. Combination Chemotherapy,Polychemotherapy,Chemotherapy, Combination,Combination Drug Therapy,Drug Polytherapy,Therapy, Combination Drug,Chemotherapies, Combination,Combination Chemotherapies,Combination Drug Therapies,Drug Polytherapies,Drug Therapies, Combination,Polychemotherapies,Polytherapies, Drug,Polytherapy, Drug,Therapies, Combination Drug
D005260 Female Females
D006085 Graft Survival The survival of a graft in a host, the factors responsible for the survival and the changes occurring within the graft during growth in the host. Graft Survivals,Survival, Graft,Survivals, Graft
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

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