Marked decrease of tacrolimus blood concentration caused by compound Chinese herbal granules in a patient with refractory nephrotic syndrome.

Abstract:

WHAT IS KNOWN AND OBJECTIVE:The blood concentration of tacrolimus can be affected by co-administrated drugs. The objective is to draw more attention to herb-drug interactions in China, where herbal medicines are commonly used. CASE DESCRIPTION:The blood concentration of tacrolimus in a girl with refractory nephrotic syndrome decreased nearly a half despite no change in dose. Nebulizer therapy, cyclophosphamide and a compound Chinese herbal medicine were the only additional treatments than usual. WHAT IS NEW AND CONCLUSION:The most possible cause of the decrease in tacrolimus concentration was the administration of Radix Astragali among compound Chinese herbal medicine granules.

journal_name

J Clin Pharm Ther

authors

Yang P,He F,Tan M,Zhong F,Liao X,Li Y,Deng H,Mo X

doi

10.1111/jcpt.13256

subject

Has Abstract

pub_date

2021-02-01 00:00:00

pages

215-218

issue

1

eissn

0269-4727

issn

1365-2710

journal_volume

46

pub_type

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