M. Fruhwirth et al., Elevated tacrolimus trough levels in association with mycophenolate mofetil-induced diarrhea: A case report, PEDIAT TRAN, 5(2), 2001, pp. 132-134
The combination of tacrolimus (TAC) and mycophenolate mofetil (MMF) is freq
uently used for immunosuppression after organ transplantation (Tx)l but the
pharmacokinetics and intel actions between the two drugs are poorly elucid
ated. We describe here the increase of TAC trough levels during MMF-induced
diarrhea in a 8-yr-old boy after kidney Tx. Early dose reduction of TAG, t
ogether with short-term monitoring of TAC trough levels in the presence of
diarrhea, is recommended.