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1997 ; 12
(1
): 67-9
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The effect of diphenyl-dimethyl-dicarboxylate on cyclosporine-A blood level in
kidney transplants with chronic hepatitis
#MMPMID9159041
Kim YS
; Kim DH
; Kim DO
; Lee BK
; Kim KW
; Park JN
; Lee JC
; Choi YS
; Rim H
Korean J Intern Med
1997[Jan]; 12
(1
): 67-9
PMID9159041
show ga
An adequate blood level of cyclosporine-A (CsA) is essential to keep graft
function in kidney transplants. Due to a narrow therapeutic index and highly
variable pharmacokinetic properties associated with CsA, drug interactions may
have a significant impact on the immunosuppressive efficacy or toxicity of CsA.
Numerous drug interactions of potential clinical significance involving CsA have
been reported. Dephenyl-dimethyl-dicarboxylate (PMC), a hepatotonic drug, is a
substance derived from the synthesis of Schizandrae fructus elements. We have
experienced two cases of drug interaction between CsA and PMC in kidney
transplants with chronic hepatitis. In both cases, CsA troughs decreased markedly
to a subtherapeutic level following administration of PMC. We, therefore, suggest
that PMC could decrease the CsA trough level and thus a close monitoring of the
CsA trough level is necessary during a PMC therapy.