Doctor insights on:
Shingles Vaccine And Kidney Transplant Recipients
In medicine: a transfer from one body or body part to another of an organ (liver, heart, lung, kidney, pancreas bowel) or tissue (hand, face, hair). The immune system fights foreign invaders (like infections) so it will reject transplants from other people (allotransplants) because they look like infections. So transplants usually require drugs to ...Read more
Probably safe: A person who has received a shingles vaccine is not contagious unless he develops a chicken pox-like rash. If a rash develops, the vaccinated person should restrict contact w/ a transplant patient (or anyone else) if that patient is susceptible to chickenpox. If the kidney transplant patient already had chicken pox, he is not at risk. ...Read more
I am a post kidney transplant recipient of 10 years with good renal function. I was prescribed invokana 100 mg but concerned weather I should take it.
Usually 1: Most if the time 1 kidney is transplanted. Occasionally 2 very small (pediatric) kidneys are kept connected to each other and transplanted "e bloc" - they grow quickly. Some older kidneys with low function are transplanted together (but separated) to try to provide enough function in combination. The recipient should understand and give consent (or not) in advance. ...Read more
Yes: How do you know it's strep?Get a more detailed answer ›
Transplant: Transplant survival has many components. Double transplant patients are generally very sick to start with. If they are lucky and get both organs, their long term survival depends on how they tolerate the immunosuppressive therapy and the rest of their status. Expect to live is hard to say, probably expect 5 years with more possible. ...Read more
How long can a heart and kidney transplant recipient be expected to live if the transplant is successful?
No time limit: The longevity of a kidney transplant is usually about 10-15 years depending on the source and quality of the donor organ (living donor kidneys tend to last longer). Heart transplants alone previously had shorter life expectancies but with current immunosuppressive drugs and better medical management, it is not unusual to for heart transplant patients to live for much longer durations. ...Read more
Kidney transplant recepient can receive other blood group kidney from donor whose blood group is differ from from receiver?
Shingles vaccine: Currently the recommendation for shingles vaccine is a single dose to those age 60 or older. However, as we have found with many other vaccines that immunity may wane with time, changes in this recommendation could occur as time goes by and we research what happens 10-20 years down the line......more to come! ...Read more
Yes: You could get a mild case of shingles. ...Read more
Yes: But, it may not be covered by insurance. Many insurers cover it starting at age 60. I could help boost your immunity and is probably worth the expense (about $250). Not studied for younger or middle aged adults yet, since most shingles occurs in th elderly, so they are the group for which the vaccine was targeted. ...Read more
Shingles isn't fun.: Ask a few people about shingles and they'll tell you it can range from annoying to really painful with symptoms that last months after the rash is gone (postherptic neuralgia). There's no great predictor if you'll get a mild or severe case. And yes, you can have it more than once in a lifetime - I've seen people on their 2nd or 3rd episode. The cost isn't trivial, but shingles isn't either. ...Read more
Safe Vaccine: There are no serious side effects except some patients will get chicken pox blisters around the site but these go away. ...Read more
No: You are at no risk of any infection from exposure to someone with shingles. If you had chickenpox or the vaccine as a kid, you cannot get it from exposure to shingles. The shingles vaccine would also boost your protection. For shingles, only the debris from the blisters contain infectious material, simple avoidance protects even those not already immune. ...Read more
No: You cannot get shingles from someone with an active case. You might get chickenpox, but only if you never had them. The shingles vaccine gives you protection from reactivation of the shingles germ (H.zoster) in your own system. It would also protect you from any decline in your resistance to chickenpox that might have occurred with age. ...Read more
Can you get shingles if you have had the shingles vaccine? If so, is there such a thing as a booster shot.
Tingle post shingle: It is possible to get shingles (zoster) after receiving the shingles vaccine (zostavax). However, chance for getting shingles is greatly diminished after this vaccine and the disease activity tends to be less severe (the shingle has less tingle). As of today, repeat vaccination or a booster shot has not been supported by current scientific data. ...Read more
Not recommended: Patients receiving this type of immunosuppresion are advised against getting the vaccine. Patients who have received it have not had problems, but there is a theoretical risk of getting a zoster infection from the vaccine. Also, it is not known how well the vaccine works in immunosuppressed patients. Talk with your doctor about shingles signs and then start antiviral therapy quickly if you get it. ...Read more
Rare: If you develop a rash after vaccination with Zostavax (Zoster Vaccine Live) it is best to cover the rash until the lesions have crusted over. The same virus causes shingles and chickenpox (Varicella Zoster). Zostavax contains weakened chickenpox virus. It would be possible (but rare) to infect someone who has never had chickenpox and who has a weak immune system. ...Read more
Tuberculin test: I would not recommend receiving any vaccine within 48 to 72 hours after tuberculin testing for fear of interference with the response to the test. ...Read more
Maybe, maybe not: The varicella titer just confirms you had it in the past or had the vaccine. It does not predict whether you may have shingles in the future. The shingles vaccine is primarily intended for the older population, those over 50.I would talk the issue over with the doc who knows your history best. ...Read more
Would shingles vaccine help prevent recurrence of bell's palsy? I've had bell's twice already. I'm healthy 45 yr old male.
Taking enbrel (etanercept) for ra. What is your view of being off it for two weeks prior to shingles vaccine and off two more weeks after?
Wait longer: Because the shingles vaccine is a attenuated virus, I would recommend staying off of your Enbrel (etanercept) the week that you get your vaccine; and, for six weeks thereafter. The six weeks allows your immune system to develop igg antibodies to the virus, the most effectivbe antibody. I recommend getting no more than 15 mg of Prednisone during the time you are off your enbrel (etanercept). ...Read more
Kidneys anatomically require connection to an artery for blood supply, a vein for blood drainage and the bladder for urine outflow. In a transplant a healthy kidney is disconnected from its usual attachments and moved to a new location with those 3 requirements (artery, vein, bladder). This may be an auto-txp - somewhere else in your own body; or an allo-txp -from ...Read more
The shingles vaccine protects your body from reactivation of a virus — the chickenpox (varicella-zoster) virus — that most people are exposed to during childhood. When you recover from chickenpox, the virus stays latent in your body. For unknown reasons, though, the latent virus sometimes gets reactivated years later, causing shingles. The shingles ...Read more
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