Extended-release tacrolimus tablets for preventing organ transplant rejection

Autor: Daniel C. Brennan, Timothy A. Horwedel
Rok vydání: 2016
Předmět:
Zdroj: Expert Opinion on Orphan Drugs. 4:1079-1086
ISSN: 2167-8707
DOI: 10.1080/21678707.2016.1218330
Popis: Introduction: Tacrolimus has been used for prophylaxis of organ rejection since 1994, and has become a mainstay of immunosuppressive therapy. Tacrolimus XR tablets were released in the U.S. in 2015 and offer greater bioavailability and less variability in daily exposure as compared to other available tacrolimus formulations. These pharmacokinetic differences may offer transplant recipients several unique advantages, including potential for more predictable immunosuppression.Areas covered: Tacrolimus XR is discussed in the kidney transplant population, as these present the largest population in which it has been studied and demonstrates the key differences compared to other formulations. Several key studies are analyzed to determine key patients that will benefit from these more predictable kinetics. Additionally, tacrolimus XR may offer benefit for patients experiencing neurotoxicity. Here we review the potential mechanisms for this adverse effect, as well as available literature regarding managem...
Databáze: OpenAIRE