HselTx2022 Q&A by Pharmacy HSel Selayang

Transplant registries

2022-10-20 01:10:28 UTC

Hi, thank you for the talk, would like to know the specific functions of the different registries mentioned. Is there a need for the few mentioned, wouldn't having just one registry suffice?

MPA levels

2022-10-20 01:40:33 UTC

Is therapeutic drug monitoring of Mycophenolic acid commonly done in Malaysia

2022-10-20 01:55:17 UTC

Thank you for the very informative lecture. Based on the TRANSFORM trial, mTORi + TAC showed excellent results, just wonder is there any contraindication to use this combination?

Precision medicine in kidney transplant

2022-10-20 01:56:04 UTC

there are many pharmacogenomic studies on transplants medicines, would it be possible to have the service (the precision medicine clinics) in Malaysia once the studies have confirmed its role in therapeutic benefit and side effects on transplant patients?

2022-10-20 02:02:08 UTC

Is it lawful for family members to override a donor’s wish upon death of the card carrying donor?

2022-10-20 02:03:26 UTC

How long usually pre-transplant workup takes prior to transplantation?

2022-10-20 02:06:40 UTC

Assalamualaikum Dr Hasdy, I’m wondering if there are any economic burden study done estimate the cost of transplantation to the country. Or at the very least to allocate budgeting to the service

NOAC

2022-10-20 02:14:00 UTC

in patient developed portal vein thrombosis post transplantation, does NOAC is a good choice?

How common is PTLD in Malaysia, and is the risk higher by using any particular immunosuppressant? Thank you.

2022-10-20 02:14:54 UTC

Everolimus TDM monitoring

2022-10-20 02:16:59 UTC

Hello Dr Wong, thank you for your informative lecture. I just want to ask whether patient on everolimus will required therapeutic monitoring? Which hospital would be able to run this TDM sample?

Mycophenolate levels

2022-10-20 02:23:43 UTC

Does your setting routinely run mycophenolate levels or just for specific patients?

Carcinogenic Risk with Tacrolimus Use

2022-10-20 02:25:20 UTC

Thank you Mr Mohan for your interesting presentation. In one of your slides mentioned on tacrolimus side effect of causing squamous cell carcinoma, may I know how soon SCC was developed in your patient after patient was given with tacrolimus?

2022-10-20 02:32:09 UTC

any idea why is Melaka has the 2nd highest referrals after Selangor? Any strategies to increase access?

In regards to increasing the number of organ donation, would you recommend for opt-out option as opposed to opt-in, that is currently being practiced in Malaysia? Thank you.

2022-10-20 02:42:06 UTC

Socioeconomic burder

2022-10-20 02:47:53 UTC

Hi Dr Foo, is there any support groups for paediatric-adolescent transplant patient/ carer?

How do we balance the optimisation of immunosuppression when transplant pts develop cmv infections for eg?

2022-10-20 03:13:25 UTC

is preemptive transplant the way forward? do we encourage this more now?

2022-10-20 03:15:08 UTC

MTAC transplant

2022-10-20 04:07:20 UTC

Can I know more details on what is covered in MTAC as outpatient post transplant as most of the time changes are managed by doctors. What topics and what challenges are there?

Timing of Immunosuppressants

2022-10-20 04:33:43 UTC

In general we mention to take them with a 12h gap. In reality, do you counsel patients to take at 9am and 9pm or you tailor according to their preference or lifestyle?

How do you manage this timing with regards to their meals? what are the challenges and ways to overcome.

Tacrolimus TDM levels

2022-10-20 04:35:11 UTC

If patients do not follow strictly with the 12 hour gap, have you seen it affecting the levels ?

Valganciclovir

2022-10-20 04:38:37 UTC

How would you identify pt with moderate to high risk for CMV infection?

Patient travelling ovearseas

2022-10-20 04:45:53 UTC

How do you advise patients that are travelling overseas with regards to timing to take immunosuppressants? Especially when travelling to different time zones with 24h differences.

Lifestyles with transplant meds

2022-10-20 05:06:45 UTC

Tx pts tend to have complicated management of their medicine they are taking. what is the important counseling points beside ensuring adherence?

Corticosteroid

2022-10-20 05:14:07 UTC

what condition that post transplant does not need steroid (prednisolone) in maintenance?

Generic Immunosuppressants

2022-10-20 05:26:39 UTC

What is your opinion of using generic IS in transplantation, any important considerations?

Miss dose management

2022-10-20 06:39:44 UTC

May I know how you counsel for them?

Traval abroad

2022-10-20 06:48:44 UTC

In the case a pt travelled abroad for working purposes for a few yrs, would the pts be able to interchange easily the immunosuppression agents safely? How could pharmacist advice?

Counseling point for pharmacist

2022-10-20 06:50:52 UTC

Hi Ms Chiau Ling, will post-transplant patient download to Klinik Kesihatan level after they are stable? What is the pharmaceutical continual care or counseling point that should be given to patients by community pharmacists?

a blue print for transplant pharmacist

2022-10-20 07:02:08 UTC

Pn Nadia, can you imagine if there could be a blue print for tx pharmacist as we know the service has evolved.

Generic drugs

2022-10-20 07:02:41 UTC

Dr, besides immunosuppressant, for patient on diltiazem , do we need to maintain them on the original brand too?

2022-10-20 07:04:12 UTC

How frequent would BKPyV infection take place among transplant pt? Any prophylaxis?

Testting

2024-01-19 00:24:30 UTC

QnA