Risk for posttransplant Diabetes mellitus with current immunosuppressive medications

Which calcineurin inhibitor is preferred in renal transplantation: tacrolimus or cyclosporine?

Cyclosporine and tacrolimus are potent inhibitors of the calcineurin-dependent cytokine synthesis in activated lymphocytes. In renal transplant patients tacrolimus is more powerful in preventing severe and refractory rejections, even when compared with the new cyclosporine microemulsion formulation. Both drugs are equally nephrotoxic, but tacrolimus induces less hypertension and less pronounced hyperlipidaemia. Especially in some categories of patients, a higher incidence of de-novo diabetes mellitus is seen with tacrolimus therapy.

Problems with Olanzapine Acute Dystonia Caused by H2 Blocker Post-transplant Diabetes and Immunosuppressive Drugs Hepatitis Associated with Hydroxyurea Ototoxicity and Cisplatin

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