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Updated: Jan 20, 2026

Quantification of the Immunosuppressant Tacrolimus on Dried Blood Spots Using LC-MS/MS
Published on: November 8, 2015
Use of Rifampicin as a Cytochrome Inducer in Acute Tacrolimus Poisoning
Juan Margallo Iribarnegaray1, Rodrigo Alonso Moralejo1, Carlos Andrés Quezada Loaiza1
1Lung Transplantation Unit, Pulmonology Department, Hospital Universitario 12 de Octubre, Madrid, Spain.
Abstract:
Tacrolimus is an essential immunosuppressive drug in lung transplantation. It is metabolized by cytochrome P450, which can cause interactions with many drugs. We present a case of acute tacrolimus poisoning in a lung transplant patient following administration of nirmaltrevir/ritonavir, as well as treatment with rifampicin, acytochrome inducer, which allowed blood levels of tacrolimus to be reduced to appropriate values.
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