As I mentioned in my previous post, my Immune Cell Function test was low 2 months ago, with low equating a higher level of immunosuppression, and I just had another done this week.
I emailed my doctor, and today, his nurse told me that it was lower than the last time (it’s 71, and IIRC, they want it around 2o0), so they cut my CellCept dose in half to 250 mg every 12 hours.
A lower dose means less chance for problems. Too much immunosuppression (low ICF) can lead to nasty fungal infections that could be fatal, viruses that can cause failure of or damage to the transplant, as well as an increased risk of cancer. CellCept also has a potentially nasty adverse reaction called progressive multifocal leukoencephalopathy, so a decreased dose is fine with me.
I’ll be getting “regular labs” (which includes a CBC, BMP, and Prograf level) weekly for the next 3 weeks, and another Immune Cell Function test the 3rd week. My Prograf level is fine at 5.9 (they want it 6-8).
I was also retested with my “high risk labs”, and my Hepatitis B and C are negative, as well as my HIV (remember the HIV scare? ).
So everything is going well; now if I could shed about 10-15 lbs, I’ll be doing even better!