Do you check mycophenolate levels in patients prescribed mycophenolate who present with a lupus nephritis flare?

In general, I tend to shoot for an induction dose (3 grams) if I am using Cellcept with steroids for a flare, unless I am doing multitarget therapy or there are side effects such as GI symptoms or cytopenias. In those cases, I lower the dose to 2 grams (1000 mg BID). If there is concern for unsatisf...

Yes! Medication adherence is a challenge even in the best of patients. Three pills twice a day every day is a significant amount of pills, and that is not including their other SLE and non-SLE medications.

I don't personally use levels to dictate change in therapy, but to see if even taking their M...