What medications are typically prescribed to prevent rejection of the transplanted heart?

After a heart transplant surgery, the body’s immune system may recognize the transplanted heart as foreign and attempt to attack it, leading to rejection. To prevent rejection, patients are typically prescribed a combination of medications that suppress the immune system and reduce the risk of rejection. These medications are called immunosuppressants.

Here are some examples of immunosuppressant medications that are commonly used after heart transplant surgery:

1. Cyclosporine: Cyclosporine is an immunosuppressant medication that works by inhibiting the activity of T cells, which are a type of immune cell that can attack the transplanted heart. It is typically prescribed in combination with other immunosuppressants.

2. Tacrolimus: Tacrolimus is another immunosuppressant medication that is commonly used after heart transplant surgery. Like cyclosporine, it works by inhibiting the activity of T cells.

3. Mycophenolate Mofetil: Mycophenolate mofetil is an immunosuppressant medication that works by inhibiting the activity of B cells, which are another type of immune cell that can attack the transplanted heart.

4. Prednisone: Prednisone is a corticosteroid medication that is used to reduce inflammation and suppress the immune system. It is typically prescribed in combination with other immunosuppressants.

5. Everolimus: Everolimus is an immunosuppressant medication that works by inhibiting the activity of a protein called mTOR, which is involved in T cell activation. It is typically prescribed in combination with other immunosuppressants.

These medications are typically prescribed in combination and at varying doses based on the individual patient’s needs and response to treatment. Close monitoring is required to ensure that the patient is receiving the appropriate dose and to watch for potential side effects, which can include increased risk of infection, kidney damage, and high blood pressure.

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