Just to update my Creatinine unexpectedly rose to 1.83 after being around 1.3 for close to a year. I just got my Tacrolimus blood level back & it's 10.6 on 10mg Astagraf which is much too high for 20 months out. I'm kind of upset with my Transplant team because my Creatinine rose to 1.42 in August from 1.24 in March on 11mg of Astagraf. They only reduced me to 10mg Astagraf in August but it's clear they should've gone lower.
So now my local nephrologist said reduce to 8mg Astagraf but my Transplant team said go down to 6mg so I'm splitting the difference & going with 7mg! My nephrologist said just go with 7. I'm in St.Louis but I had my transplant at University of Illinois at Chicago. They get patients from all over the country so it's not that unusual.
How low do you all think I should reduce my Astagraf to? Also what is the appropriate Tacrolimus blood level when you're 20 months out?