Table 1: Protocol for prophylaxis and immunosuppression in kidney transplant recipients of the Health Institute of the State of Mexico.
Induction | 1st month postransplant | 3rd month postransplant | 6th month postransplant | |
---|---|---|---|---|
Medication | MMF 2 g/day Thymoglobulin 3.5 mg/kg Methilprednisolone 15 mg/kg first day, 500 mg second and third day postransplant | MMF 2 g/day Tacrolimus 10 ng/dl* Prednisone 60 mg, tapering dose till 5 mg/day | MMF 2 g/day Tacrolimus 10 ng/dl* Prednisone 5 mg/day | MMF 2 g/day Tacrolimus 5-10 ng/dl* Prednisone 5 mg/day |
Prophylaxis | Cephtriaxone 1 g during surgery, and continued during the hospital staying 2 g/day | Sulfamethoxazole trimethoprim, 80/400 mg per day Valganciclovir 900 mg/day. Nitrofurantoin 100 mg/day |
Sulfamethoxazole trimethoprim, 80/400 mg per day Valganciclovir 900 mg/day |
Valganciclovir 900 mg/day |
Follow-up | - | Every week | Every month | Every month |
MMF: mycophenolate mofetil; *Serum levels. |