What changes to immunosuppressant medications do you adopt for kidney transplant patients who contract COVID-19?

It really depends on the severity of their symptoms.

For patients with mild symptoms, we typically lower the MMF somewhat as well as treat with paxlovid as the first line.

Due to the interactions with the CNIs etc., we adopt the following protocol for tacrolimus and paxlovid:

1. Day 1- First Paxlovid ...