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pubmed-article:9665011pubmed:abstractTextIn patients receiving cyclosporine A (CyA)-based immunosuppressive therapy, Ca2+ channel blockers (CCBs) prevent the development of CyA-related nephrotoxicity in which increased Ca2+ content plays an important role. We evaluated the dynamics of the intracellular (erythrocytes) and extracellular (plasma) Ca2+ levels and the influence of the CCB, Phenihydine, on this process during the conversion from Sandimmun (S) to Sandimmun Neoral (SN). Forty-two patients were enrolled. The conversion from S to SN normalized the elevated CA2+ level of erythrocytes in groups with Phenihydine (n = 20) and without Phenyhidine (n = 12) 4 weeks after the switch (P < 0.05); this level remained stable until the end of study. Therefore we suggest that the switch from S to SN is effective in reducing elevated intracellular Ca2+ levels. The decrease of Ca2+ content in erythrocytes was similar in all groups switched to SN (with or without Phenihydine). The last effect should be an important argument to focus the further long-term investigations on the ability of CCBs to act as cytoprotective and neophroprotective agents during immunosuppressive protocols with the new microemulsion formulation of CyA.lld:pubmed
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pubmed-article:9665011pubmed:dateRevised2006-9-18lld:pubmed
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pubmed-article:9665011pubmed:articleTitleDoes the switch from sandimmun to Sandimmun neoral reduce patient need for Phenihydine?lld:pubmed
pubmed-article:9665011pubmed:affiliationDepartment of Transplantation, Medical Academy of Latvia, Riga, Latvia.lld:pubmed
pubmed-article:9665011pubmed:publicationTypeJournal Articlelld:pubmed
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