Table 2.
Liver and renal function with tacrolimus dose and concentration
| Before pregnancy |
First trimester |
Second trimester |
Third trimester |
After delivery |
||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Liver function (mean values) | ||||||||||||||
| Bilirubin | AST | ALT | Bilirubin | AST | ALT | Bilirubin | AST | ALT | Bilirubin | AST | ALT | Bilirubin | AST | ALT |
| 0.6 | 35.3 | 38.0 | 0.6 | 31.5 | 32.0 | 0.6 | 37.0 | 38.7 | 0.5 | 36.7 | 31.2 | 0.7 | 48.7 | 41.6 |
| 0.4 | 21.1 | 25.1 | 0.4 | 19.6 | 23.5 | 0.4 | 40.3 | 33.6 | 0.4 | 47.0 | 25.7 | 0.5 | 70.6 | 53.3 |
| 0.6 | 27.5 | 32.0 | 0.5 | 26.5 | 28.0 | 0.5 | 27.0 | 24.0 | 0.4 | 27.0 | 23.5 | 0.7 | 28.0 | 25.0 |
| Renal function (mean value) | ||||||||||||||
| Creatinine | BUN | Creatinine | BUN | Creatinine | BUN | Creatinine | BUN | Creatinine | BUN | |||||
| 1.2 | 20.3 | 1.0 | 17.0 | 1.0 | 15.0 | 1.1 | 14.2 | 1.2 | 18.8 | |||||
| 0.5 | 7.5 | 0.4 | 6.6 | 0.4 | 6.4 | 0.4 | 8.1 | 0.5 | 10.2 | |||||
| 1.1 | 18.5 | 0.9 | 17.0 | 0.9 | 14.0 | 0.9 | 13.0 | 1.1 | 15.0 | |||||
| Mean tacrolimus—dose mg/day and whole-blood trough concentration ng/mL | ||||||||||||||
| Dose | Level | Dose | Level | Dose | Level | Dose | Level | Dose | Level | |||||
| 9.8 | 7.0 | 9.5 | 7.0 | 9.6 | 4.5 | 9.5 | 4.5 | 10.9 | 5.7 | |||||
Bilirubin mg/dL (1 mg/dL=17 μmol/L, SI units), creatinine mg/dL (1 mg/dL=88.4 μmol/L-SI units).
BUN, blood urea nitrogen-mg/dL (1 mg/dL=0.357 μmol/L SI units); AST, aspartate amino transferase U/L; ALT, alanine amino transferase U/L.