title: Can mycophenolic acid dose requirement during the first transplant help predict dosing for the second transplant?
abstract: We describe the pharmacokinetic profile of mycophenolic acid (MPA) in a patient receiving Mycophenolate mofetil (MMF) during her first and second renal transplantations. The MMF dose required to achieve a therapeutic range of MPA-AUC(0)(-)(12)(h) early following the second transplantation was 10 times greater than that required late following the first transplantation. Her MMF requirement then declined and continued to decrease even beyond 1 year. Intra-individual variability in MPA profiles precluded the ability to predict MMF dosing for the second transplant based on that during the first. Therapeutic drug monitoring of MMF should be continued beyond 1 year of transplantation.
authors.affiliation: Department of Nephrology, Christian Medical College, Vellore, India.
authors.forename: Vellaichamy M
authors.initials: VM
authors.lastname: Annapandian
authors.forename: Gopal
authors.initials: G
authors.lastname: Basu
authors.forename: Binu S
authors.initials: BS
authors.lastname: Mathew
authors.forename: Denise H
authors.initials: DH
authors.lastname: Fleming
authors.forename: Chakko K
authors.initials: CK
authors.lastname: Jacob
authors.forename: George T
authors.initials: GT
authors.lastname: John
mesh_terms: D000328:Adult; D019540:Area Under Curve; D016903:Drug Monitoring; D005260:Female; D006801:Humans; D016030:Kidney Transplantation; D009173:Mycophenolic Acid / Q000008:administration & dosage*
chemical_list: D009173:Mycophenolic Acid