Belatacept infusions for immunosupression - Kidney Transplant

Kidney Transplant

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Belatacept infusions for immunosupression

Bird_watcher profile image
27 Replies

Have any of you taken Belatacept infusions?

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Bird_watcher profile image
Bird_watcher
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27 Replies

Yes, I developed an allergic reaction to tacrilomus and have been on Bella since my transplant 8 months back. Did you want to know anything in particular about it ?

Bird_watcher profile image
Bird_watcher in reply to

I was concerned about the side effects & if my husband would feel worse on the Belatacept than he does on Tacrilomus.

in reply to Bird_watcher

Ok. Just feel very tired after the infusion. Otherwise no discernible changes in blood work. But I’ve not had tac at all. But have had all other kinds - chemo, imuran , cellcept - and think the reactions are more or less the same. Hope that helps.

LisaSnow profile image
LisaSnow in reply to

What other medications are you on?

in reply to LisaSnow

Myfortic is the other immune suppressant.

LisaSnow profile image
LisaSnow in reply to

Thank you. Are you still taking Prednisone?

in reply to LisaSnow

No. No pred. Other meds are for hypertension, diabetes, high cholesterol and hypothyroidism.

LisaSnow profile image
LisaSnow in reply to

You must be followed by a steroid-free protocol center. Many centers in the USA do not remove steroids especially within the first few years.

in reply to LisaSnow

Perhaps. But I suffered from an immune system disorder which has been under remission since 2017. From 2004-2014 I was on steroids and chemo and on ritux for 3 years. Plus have a history of aggressive side effects with oral steroids. Perhaps that’s why.

Trident6656 profile image
Trident6656

I had tremors on Tacrolimus so I was switched to Belatacept about 18 months ago.

Bird_watcher profile image
Bird_watcher in reply to Trident6656

Did the tremors improve, and do you feel better on the Belatacept?

LisaSnow profile image
LisaSnow in reply to Bird_watcher

I believe tremor is an unique side effect to tacrolimus and only at high doses. What other tacrolimus associated side effects are bothering your husband?

Bird_watcher profile image
Bird_watcher in reply to LisaSnow

He has had numbness/tingling in hands & feet. Nausea/vomiting, constipation, diarrhea, tremor. Has been living with it but since he has antibodies to EBV his doctor thinks Belatacept would be a better choice since Tacrolimus seems to cause hardening of the arteries (in the kidneys & heart). We are just concerned about the chance of developing cancer, PTLD or PML. I guess it’s a risk with either drug.

LisaSnow profile image
LisaSnow in reply to Bird_watcher

Cancer is indeed a risk with all immunosuppressive meds. My take is that in the absence of better long term data go with a drug combo that prolongs the life of the transplant while maximizing quality of life for the recipient. It may take a little time to settle on the best meds but worth the effort.

Bird_watcher profile image
Bird_watcher in reply to LisaSnow

Thank you for your advice. It is appreciated ☺️

Transplant2018 profile image
Transplant2018

I switched to Belatacept six months after my tx because it appears to be better long-term for the kidney than tacrolimus. That was two years ago; my creatinine levels have remained stable (hope that continues!) and I haven't noticed any side effects.

Bird_watcher profile image
Bird_watcher in reply to Transplant2018

Thank you! That is encouraging!

Randy1805 profile image
Randy1805 in reply to Bird_watcher

It doesn't make me sick or tired, I feel better.beware of sun exposure

Bird_watcher profile image
Bird_watcher in reply to Randy1805

That’s good to know😉

LisaSnow profile image
LisaSnow in reply to Transplant2018

What other medications are you on?

Transplant2018 profile image
Transplant2018 in reply to LisaSnow

Myfortic and prednisone

LisaSnow profile image
LisaSnow in reply to Transplant2018

Thanks! I heard there are several "pairing options". Hoping the others will answer also.

LavenderRabbit profile image
LavenderRabbit

I’m on belatacept. Have been from the start. (That’s only from March of this year) I have had no side effects that I have noticed.

LisaSnow profile image
LisaSnow in reply to LavenderRabbit

What other medications are you on?

LavenderRabbit profile image
LavenderRabbit in reply to LisaSnow

Celcept, prednisone, and tacrolimus, but the last one will drop off at the one year mark.

Randy1805 profile image
Randy1805

Yes have been on Bella for 7 yrs. Stay out of sun or wear protection. I go to dermatologist every 6mo.always have small lesions to be removed. I am recovering from cancer on lip ,they removed my entire upper lip going thru reconstruction surgery now ,have had 1 surgery 2 more to go.any immune supresent drug has side effects.some worse then others

Bird_watcher profile image
Bird_watcher

Wow the skin cancer is troubling! Must be diligent with protection! Thanks.

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