Are there any particular rules for taking medications?
The rules are only two, but very important:
1. The patient must take exactly, scrupulously and always the immunosuppressive therapy (the one that fights or avoids rejection): remember that the risk of rejection never disappears and that a good percentage of patients they lost the kidney due to chronic rejection they did not scrupulously take the therapy:
2. Before taking any medicine not prescribed by kidney transplant hospital in India, you will need to consult the transplant centre: many medicines can be toxic to the kidney or have interference with anti-rejection therapy, causing increases in the levels of some drugs with the risk of toxic effects, or reductions with the risk of rejection.
What to do if you forgot to take a dose of immunosuppressive drugs?
This is an eventuality that should never be verified. Patients who forget to take immunosuppressive drugs are those with the highest risk of losing the transplanted kidney. If, however, this happens, to avoid the risk of drug toxicity, we recommend that you regulate yourself as if nothing had happened and take your next dose as usual (so do not take the forgotten dose if more than 4-5 hours have passed since time when you should have taken it, and not increased the subsequent doses). We reiterate that this must still be an absolutely exceptional eventuality.
Can kidney transplant patients perform sporting activities?
Not only can they, but rather it is extremely useful for their health that they do it. A physical activity, even sporting and competitive, is not contraindicated, but rather recommended, of course provided that the patient follows the obvious precautions of gradualness in the effort.
In fact, physical activity strengthens the muscles and bones, which are weakened by immunosuppressive therapy, and also carries out an anti-arteriosclerotic activity. Evidently violent sports (such as boxing or martial arts) are not recommended because they expose the transplanted kidney to the risk of trauma damage. Instead, they are excellent swimming, walking, running, cycling, cross-country skiing.
Weight lifting is not particularly indicated because it can increase blood pressure and, if practiced with little caution, could cause tendons and muscles to break, weakened by immunosuppressive drugs. In this regard we recall that there are sports associations of transplanted and transplanted sports competitions.
However, there is nothing that forbids that the kidney transplant recipient, desirous of greater rehabilitation and integration, turns to sports facilities open to all. As a general rule, the contraindications to sport for a kidney transplant are the same as for a patient in the same clinical condition, but not a kidney transplant recipient.
Can I have children after a kidney transplant?
For men, having children after a transplant has no contraindication. On the other hand, as far as women are concerned, it is still debated whether pregnancy is associated with an increased risk of losing the kidney after giving birth. There is still no definitive answer. Many women have had children after transplantation without problems.
In any case, the safest pregnancies are those that occur in women with a transplant normally functioning for at least 2-3 years, not hypertensive and who have not had acute rejections. For the others the situation will have to be assessed on a case by case basis. It should also be emphasized that the experience has allowed to exclude risks for the foetus with cortisone, cyclosporine and azathioprine, while there are still too few data regarding the new immunosuppressive drugs: