Showing posts with label Tacrolimus. Show all posts
Showing posts with label Tacrolimus. Show all posts

Saturday, March 2, 2013

Vindication - Hopefully


Hurray! My potassium is now 5.0 – thanks to a reduced dose of Tacrolimus and a low potassium diet. It did increase slightly from Monday’s lab results by 0.1, but my nephrologist said that the difference is not significant enough to be of concern.

I am hoping that with the reduced Tacrolimus, my potassium will continue to lower. For now, I have been advised to maintain a low potassium diet – that means forgoing my beloved tomatoes, avocados, and bananas. My cereal now has low potassium almond milk with 1 teaspoon of sliced almonds. At least, I can have Honey Bunches of Oats - until I have a chance to check the potassium content. Today, I had a half a bagel with only cream cheese – I miss having tomatoes and avocado on it. That is one of my guilty pleasures.
Balanced diet? Some phosphorus, Some potassium

My frustration is that dairy, which is high in phosphorus, is also high in potassium.  Ice cream is the ultimate guilty pleasure for me. I couldn’t have ice cream when I was on dialysis; I had to settle for a sorbet when I wanted something cold for dessert, and I missed ice cream’s creaminess and sweetness. When the dietician recommended that I have a huge ice cream sundae, we went ahead and indulged in some ice cream bars and Haagen Daz. The dietician still recommends that I continue with my ice cream habit, until my phosphorus rises; unfortunately, it’s decreasing again!

At least, my potassium is now within normal range, but still on the high side. Hopefully, with a semi-balanced diet, I can tackle both Hyperkalemia, Hypophosphatemia, and any more Latin that they throw at me. Or is that Greek?

Hubby thinks that the answer lies within peanut butter. I don't think he meant Peanut Butter Ice Cream.

Until my next lab results!

Sunday, February 24, 2013

Now, it's hyperkalemia


I received my latest lab results last Wednesday, and my potassium is now elevated. The normal range is 3.5 – 5.3, but my last results were 5.7.

I have usually had no problems processing potassium. Even when I was on dialysis, my potassium levels were normal. But now that I have a new kidney, it’s a bit out of whack.

I believe an elevated potassium level is called Hyperkalemia. High potassium levels primarily affect a person’s heart; that is why it can be a concern. Per Wikipedia, “extreme Hyperkalemia is a medical emergency due to the risk of potentially fatal abnormal heart rhythms” – it can be life threatening.

I have not been officially diagnosed with Hyperkalemia yet, but I have been advised to adhere to a strict low potassium diet.  It is somewhat frustrating, because some foods that are high in potassium like dairy were recommended to me because they are also high in phosphorus, and my phosphorus is still low. I guess I just have to find a balance.

That said, I suspect that my elevated potassium levels are due to one of the immunosuppressant drugs. Tacrolimus, more commonly known as Prograf, has been known to increase potassium in the blood. As I suspected, my Tacrolimus dosage was just reduced last Thursday.  With these changes, hopefully, my next potassium lab results will be better.

Fingers crossed. 'Will see the results of these changes in the lab results tomorrow.