Adjustment of immunosuppression in the setting of infection is center dependent after transplant. At our center, we typically only adjust if needed, other centers will empirically stop Mycophenolate. We typically monitor the white blood count and Prograf levels daily. If the patient we adjust the Pr...

I agree with the response from Dr. @Nicholas Kolaitis. Other important factors to consider when making decisions about altering immunosuppression in the setting of COVID19 include: 1) Drug-drug interactions with antivirals: the ritonavir component of nirmatrelvir/ritonavir has significant interacti...