This Might be Important!: Dear All, I have... - Kidney Transplant

Kidney Transplant

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This Might be Important!

AndrewT profile image
9 Replies

Dear All,

I have been 'on' Advagraf (Tacrolimus) since, July 2013, when I had My Transplant. I WAS aware that Grapefruit, and it's Juice, could Affect the Absorption Rate of this Drug. However today, I noticed, on the Pharmacy Sticker put onto my Latest Box it Reads 'Avoid eating Grapefruit, Pomegranate and Pomelo'.... now I DIDN'T know about those last Two, never Mentioned Before- as far as I recall, certainly Not in the Literature I was given.

My question, if it is a 'question', is this.... Is this 'Something' new or should I have already been 'Aware' of it?

Even if, like me, you have Never encountered this before- be Aware of it now.

AndrewT

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AndrewT profile image
AndrewT
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9 Replies
Herkidney profile image
Herkidney

I had heard about pomegranate but not Pomelo! Thanks for posting this.

kimmie55 profile image
kimmie55

Grapefruit, pomegranate, pomelo, and also Seville orange(traditional marmalade)...I was told after transplant (2012), nothing new about these restrictions.

AndrewT profile image
AndrewT in reply to kimmie55

'Seville' Oranges? I've never heard of THIS 'One' either.... Is it just Seville Oranges? What about other 'Orange' Fruit- Satsumas, Clementine's and the like?

AndrewT

kimmie55 profile image
kimmie55 in reply to AndrewT

Here’s what the NKF has on the website. However, no matter what you read, hear, or think always ask your tx team, nephrologist, etc about these things.

kidney.org/transplantation/...

blackkat2 profile image
blackkat2

My transplant team gave me only one restriction, grapefruit in any form. My renal nutritionist explained to me that both grapefruit and pomegranate slow down the processing of the meds by the liver, making it potentially harder to keep the levels steady. Never heard about the others so thanks for calling our attention to the issue.

Lionkin profile image
Lionkin

Hello Andrew,

I was made aware of Grapefruit/Blood Oranges/Pomegranates, never heard of clementines - after the transplant.

On snooping the web here is what I found on clementine oranges: pubmed.ncbi.nlm.nih.gov/278....

I will bring that up with my Post Transplant Nephrologist on the clementine issue. As per the paper the Tacrolimus levels rise. Thanks for creating an awareness !

Drdetroit profile image
Drdetroit

I was only told about grapefruit by transplant in 2012

parojulie123 profile image
parojulie123

I just had Transplant 4 months ago. I was told to avoid - Pomegranate, Grape fruit and Star fruit

Dara3351 profile image
Dara3351

I was told about the grapefruit, pomegranate, no raw fish, sushi and if I eat any lunch meat it must be heated, and no queso fresco cheese, Brie, alfalfa sprouts, or radishes.

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