The?effects?of?diltiazem?in?renal?transplantation?patients?treated?with?cyclosporine?A
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Graphical Abstract
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Abstract
Objective:?To?investigate?the?effects?of?diltiazem?and?cyclosporine?A?(CsA)?combination?therapy?on?protecting?the?kidney,?promoting?graft?functioning?and?improving?post-transplanted?kidney?recovery.?Methods:?The?blood?con-centrations?of?CsA,?the?condition?of?the?post-transplant?kidney,?the?rate?of?acute?rejection?(AR),?as?well?as?hepatic?and?renal?toxicity?in?636?cases?of?renal?transplant?recipients?were?determined?after?being?treated?by?CsA,?with?or?without?diltiazem.?Results:?Compared?with?the?control?group?which?received?CsA,?mycophenolate?mofetil?(MMF)?and?prednisolone?(Pred)?but?lacked?diltiazem,?the?group?receiving?these?agents?together?with?diltiazem?required?reduced?dosage?of?CsA?(P?0.01),?while?blood?concentrations?of?CsA?were?significantly?increased?(P?0.01);?the?recovery?time?of?graft?function?was?reduced?from?(6.2±1.5)?d?to?(3.9±1.4)?d?(P?0.01),?and?the?rate?of?AR?was?decreased?from?13.2%?to?7.9%?(P?0.01).?Conclusion:?In?renal?transplantation?patients?treated?with?CsA?and?diltiazem,?blood?concentrations?of?CsA?were?increased?while?the?dosage?was?decreased.?This?efficient?combina-tion?therapy?reduced?patients'?economic?burden,?at?the?same?time?retained?kidney?function,?promoted?graft?func-tion?recovery?and?decreased?hepatic?and?renal?toxicity?and?the?rate?of?AR.
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