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        REFILLS                                               STORING YOUR MEDICATIONS
        Running out of medication is careless, dangerous      ● Keep your medications in a place that is dry, dark
        and unnecessary. Keep a regular count of your            and neither too hot or cold. Never store
        medications. Don't wait until you've run out, or are     medications in the refrigerator, unless instructed
        on your last pill, before ordering. Refill your          specifically to do so.
        prescriptions early. Your immunosuppressive           ● Keep medications where you will remember to
        medications are initially prescribed on a high-tech      take them.
        prescription. This prescription informs the health    ● Keep all medications out of the reach of children
                             authority of the medication         and separate from other peoples’ medication.
                                 you are taking which is, in     For most patients, stopping, dialysis after a
                  “Keep            turn, funded by the        transplant, means certain medications will no
                                     HSE. Your pharmacy       longer be needed. Medication such as phosphate
                                      may    require    an    binders and quinine are usually discontinued.
            where you will            up-to-date high-tech       Activated Vitamin D medicines, such as One
                                      prescription every six  Alpha, are also likely to be discontinued unless
             remember to
                                     months. If you do        you have had a surgical parathyroidectomy carried
              take them.”           require a high tech       out to control parathyroid hormone levels.

                                  prescription, ask your         A successful transplant should help correct
                              doctor at your clinic visit.    anaemia from end stage kidney disease (ESKD) so
           Many local pharmacies do not keep regular stocks   that erythropoietins and iron supplements may not
        of some transplant medications and will need time     be needed after transplant.
        to order them. Try to keep at least a two-week           If you are unsure about the need for any of your
        supply of all medications, at all times. Use only one  medications. ask your doctor.
        pharmacy. If the pharmacy has a complete record of
        all your medications, they can be sure to stock each         “Check your medications when you
        of the medications you require, when you require              receive them from the pharmacy.
        them. Check your medications when you receive
        them from the pharmacy. Look at each label and               Look at each label and medication.
        medication. If there is anything that appears            If there is anything that appears different
        different than usual, call the pharmacist                      than usual, call the pharmacist
        immediately, as mistakes can happen.                       immediately as mistakes can happen.
                                                                  PLEASE NOTE PACKAGING CAN VARY.”

                                   GENERAL TIPS
                                   ● Tell any other doctor, dentist or surgeon looking after you, what medications
                                     you are taking and show them your Renal Transplant Passport.
                                   ● Anti-rejection medications can interact with many other medications, both
                                     prescription (especially certain antibiotics) and over-the-counter medications.
                                     These interactions can cause you to get too much or too little of the required

        ● Never take any medication, including herbals, tonics or
           supplements, without first discussing it with your transplant
           doctor, nurse or pharmacist.
        ● Most pharmacies sell medicine organisers- plastic
           containers that are designed to help you organise
        your medications for a whole day or a whole week. These are
           easy to carry, and many patients find them to be very helpful.

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