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Ever since I was treated with ATG and CsA, I have been taking potassium and magnesium supplements to offset the side effects of CsA, per the doctor's prescription.
My doctor has been monitoring my potassium and magnesium levels, and 10 Meq of potassium has been adequate (that amount requires a prescription, I think). I take the potassium with the CsA in the morning, and the bottle says to take it with a lot of water, and not to lie down for 30 minutes afterwards.
It has taken some time and experimenting to get the magnesium levels up to normal, and when it is low, I tend to have muscle cramps a lot. The magnesium I take is Magnesium Oxide, and for me, it works to take 2 400mg tablets in the morning with the CsA, and 1 400mg tablet in the evening with the CsA. I do not know if it the magnesium helps with fatigue, but it does keep the cramps from happening.
As far as the CsA is concerned, the insert says to take it at evenly spaced intervals and either with food or without, but to eat the same amount and type of food each time in order to keep the dosage constant. I don't do so well at following THAT, but I probably really should.
HTH
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Male, 56, dx Nov2006 VSAA (BMA:0%). Responded to ATG/CsA/Prednisone/Neupogen Dec 2006, but relapsed in June 2007. Counts are responding to using CsA 200mg bid alone since Jun 2008. Last PRBC tx: Jul 2008.
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