Yes, your child’s vaccination schedule will be resumed as early as one year after the transplant based on the Center's recommendation and follow-up.

For more information on vaccines: INFOVAC

Your child should always take tacrolimus or another immunosuppressant:

• by mouth 
• at the same time
• under the same conditions, whether on an empty stomach or with a meal

These essential precautions help to reduce fluctuations in the level of medicationin the blood. The analysis of the results is therefore more reliable, which makes it easier to adjust the treatment.

No, they should preferably be taken by mouth.

Use the half-hour rule:

• if your child has a vomiting episode within the first half hour after administering the medication, you can give your child the same dose again.
• if the vomiting episode occurs a half hour or more after administering the medication, do not give it again because it has probably already been absorbed.

Please feel free to call our Center if you have any questions or if vomiting persists.

Do not change the tacrolimus administration schedule. Continue to give it to your child at the same time as usual based on the new time zone.

For example:

8 a.m. during standard time in the winter => 8 a.m. during daylight savings time in the summer

8 a.m. in Geneva => 8 a.m. in New York

Apart from paracetamol, please refer to the table below.

Interactions

To the best of our current knowledge, yes. A transplant recipient must take immunosuppressive treatment throughout his life. Studies are currently underway.

At first, six drugs a day are prescribed, as a preventive measure, to reduce the side effects of the immunosuppressant. They protect against high blood pressure, renal failure and the risk of viral or bacterial infection. Then, this number gradually decreases over the years (1 to 3/day).

Yes. Even if your child has a nasogastric tube. As with tacrolimus, other immunosuppressive medication, including Nifedipine®, Amphomoronal® and Mycostatin®, should preferably be taken by mouth.

The other treatments can be administered through the tube. However, because the tube is temporary, it is best for your child to get used to taking its medication by mouth.

The information in the table below is used as a general rule, but treatment may vary depending on the situation: