What can you not do on immunosuppressants?
To reduce the risk of infection while taking immunosuppressant medications, always wash your hands before and after handling food. Avoid eating raw eggs, unpasteurized milk, raw milk cheeses, raw meat, and raw unwashed fruits and vegetables.
When on an immunosuppressive treatment plan, your diet can be a useful way to support your body and strengthen it when fighting off potential infections. A diet that consists of fiber-rich foods plus vitamins and minerals can go a long way toward helping you battle infection and illness while on immunosuppressants.
Drugs which suppress the immune system are inevitably associated with increased risk of infection and malignancy.
The most significant side effect of immunosuppressant drugs is an increased risk of infection. Other, less serious side effects can include loss of appetite, nausea, vomiting, increased hair growth, and hand trembling. These effects typically subside as the body adjusts to the immunosuppressant drugs.
System | Long-Term Side Effects |
---|---|
Dermatological | Acne, increased bruising, impaired wound healing |
Endocrine | Diabetes mellitus/glucose intolerance, cushingoid facies, hyperlipidemia, growth retardation, menstrual irregularities, hirsutism, weight gain—increased appetite, adrenal gland hormone suppression |
Patients must also take immunosuppressive drugs for the rest of their lives to keep the immune system from attacking transplanted organs. But these drugs can make it hard to fight off infections.
We do not recommend that individuals who are immunosuppressed take live cultures supplements, due to a lack of clinical evidence. Patients who are severely immunocompromised or immunosuppressed do not have the ability to mount an appropriate response to any microbe that they come in contact with.
Vitamins B6, C and E are all known for their immune-boosting properties. You can get all of these vitamins from a well-balanced diet, so you don't need supplements. Some foods rich in these vitamins include eggs, bell peppers, spinach and almonds.
S vaccine protection did not reach statistical significance (aHR=0.34, 95% CI 0.09 to 1.30, p=0.17); and (4) receiving a booster dose reduced the risk of SARS-CoV-2 infection (aHR=0.42, 95% CI 0.24 to 0.76). Conclusions The mRNA-1273 and BNT162b2 vaccines are effective in individuals who take immunosuppressants.
Additionally, people may have a better appetite after transplant, leading them to consume more food (and calories) than before. The immunosuppressant medications necessary to prevent organ rejection can also contribute to weight gain.
Do immunosuppressants reduce life expectancy?
The side effects of immunosuppressive drugs can be severe (including an increased risk of cancer and infections), which is one of the reasons that life expectancy of transplant patients still falls short of that of the general population4.
Some people who are immunocompromised (have a weakened immune system) are more likely to get sick with COVID-19 or be sick for a longer period. People can be immunocompromised either due to a medical condition or from receipt of immunosuppressive medications or treatments.

Mycophenolate mofetil: A safe and promising immunosuppressant in neuromuscular diseases | Neurology.
Cyclophosphamide (Baxter's Cytoxan) is probably the most potent immunosuppressive compound. In small doses, it is very efficient in the therapy of systemic lupus erythematosus, autoimmune hemolytic anemias, granulomatosis with polyangiitis, and other immune diseases.
The most common adverse effects of immunosuppressive drugs were memory impairment (28.4%), insomnia (26.0%), gastrointestinal discomfort (21.4%), easy fatigue (22.1%), hand tremor (23.8%), and vision variation (29.1%).
Risk of Infection
Taking an immunosuppressant might make you more likely to get sick from a common illness, like a cold. In some cases, it might make you more likely to get sick from something that usually doesn't cause people to get sick.
Notably, immunosuppressants can increase the risk of infections. Plus, any infection you do get might be harder to treat or get rid of. However, for many people with autoimmune diseases, the benefits of these medications are often worth this risk of infections.
Side effects of immunosuppressant medications may include gastrointestinal problems like diarrhea, nausea, and vomiting. However, the most serious side effect of taking an immunosuppressant is the risk of infection.
To prevent organ rejection, you'll need to take immunosuppressants (maintenance drugs) every day for life. The medication dosage may decrease over time as your immune system adjusts to the new organ.
Physiological Factors and Medications
Allograft rejection and complications of immunosuppressive therapy are a source of considerable stress and may contribute to depression and anxiety.
What are the 3 classes of immunosuppressant drugs?
Immunosuppressants can be divided into classes including calcineurin inhibitors, interleukin inhibitors, selective immunosuppressants and TNF alfa inhibitors.
Yes, severely immunosuppressed individuals who have completed their primary course of three doses should be offered a booster dose with a minimum of three months between the third primary dose and the booster.
There can be no doubting the supplement's ability to enhance the gut microbiome and, as we have already pointed out, Lactobacillus acidophilus and Bifidobacterium lactis are two of the best species of probiotics for boosting immunity.
“If you are immunocompromised, or if you are on chemotherapy or neutropenic — having a dangerously low white blood cell count — or your gut is leaky for whatever reason," Doron told NBC News, "it stands to reason that if you ingested probiotics, they could get into your blood.”
Avoid high doses of vitamin C, beta carotene, cat's claw, echinacea and ginseng, among others. Why add fuel to the fire? Doing so may cause you to slip out of remission and into more misery.
- Probiotic foods include kefir, yogurt with live active cultures, fermented vegetables, sauerkraut, tempeh, kombucha tea, kimchi, and miso.
- Prebiotic foods include garlic, onions, leeks, asparagus, Jerusalem artichokes, dandelion greens, bananas, and seaweed.
- Eat Well. Food Assistance. ...
- Be Physically Active. Regular physical activity helps you feel better, sleep better, and reduce anxiety. ...
- Maintain a Healthy Weight. Excess weight can affect how your body functions. ...
- Get Enough Sleep. ...
- Quit Smoking. ...
- Avoid Too Much Alcohol. ...
- In Summary.
An immunosuppressant is a medication that weakens your immune system. It does so by making your immune system less active. This can actually be helpful in certain conditions. For example, some people take immunosuppressants after receiving an organ transplant.
Immunocompromised and immunosuppressed both refer to deficiencies in the immune system's functioning. When one's immune system does not work properly, the body's ability to fight off infections or cancer is reduced.
- influenza vaccine.
- pneumococcal vaccine.
- meningococcal vaccine.
- HPV vaccine.
- hepatitis B vaccine.
- recombinant zoster vaccine (Shingrix)
What clinical problems can immunosuppressive drugs cause?
Drug-induced immunosuppression can lead to bacterial, viral, fungal, or parasitic infections, with different medications predisposing to specific types of organisms [6]. Some of these result in cutaneous disease, notably bacterial abscesses, herpes zoster, herpes simplex, cytomegalovirus, and viral warts [2].
Once your dose of methotrexate has been increased to a full dose, it may take up to 12 weeks before you notice any benefits. It's important to keep taking methotrexate. The medicine is working, even if you do not feel any different for a few months.
Occasionally it causes feeling sick, and pins and needles in the arms and legs. Both ciclosporin and tacrolimus can cause kidney damage themselves, which always has to be balanced with potential benefits.
Natural immunosuppressant compounds, derived from plant sources like curcumin, luteolin, piperine, resveratrol are known to inhibit the production and release of pro-inflammatory cytokines and chemokines.
Immunosuppressive treatment given to the patient following organ transplantation can cause many psychiatric disorders. For example a preliminary study on transplantation patients in Turkey has shown that the most common diagnosis is major depressive disorder and it was observed in 25% of all patients.
Being immunocompromised may legally constitute a disability
The ADA defines someone as having a disability if they have a physical or mental impairment that substantially limits one or more major life activities, have a record of such an impairment, or are regarded as having an impairment.
First studies show that methotrexate has an inhibitory effect on humoral immune responses to the COVID-19 vaccine BNT162b2 (Pfizer BioNTech, single shot), whereas cellular responses are preserved [2, 3]. Similar effects can be assumed for corticosteroids and mycophenolate medication [4,5,6].
- Severe Combined Immunodeficiency (SCID) ...
- STAT3 Dominant-Negative Disease. ...
- Warts, Hypogammaglobulinemia, Infections, and Myelokathexis (WHIM) Syndrome. ...
- X-Linked Agammaglobulinemia (XLA) ...
- X-Linked Lymphoproliferative Disease (XLP)
When on an immunosuppressive treatment plan, your diet can be a useful way to support your body and strengthen it when fighting off potential infections. A diet that consists of fiber-rich foods plus vitamins and minerals can go a long way toward helping you battle infection and illness while on immunosuppressants.
Co-administration of immunosuppressants and antibiotics can cause harmful interactions, modifying the pharmacokinetic and pharmacodynamic characteristics of both groups of drugs.
What do immunosuppressants increase the chance of?
One of the side effects of these drugs is an increased chance of infections. This is more of a problem in the early period after a transplant or following treatment of a rejection because the dosage of these drugs is higher at these times.
Immunosuppressants slow or stop the attack by disabling parts of the immune system. For many arthritis patients, the drugs can help reduce chronic inflammation and pain and slow the destruction of joint tissue.
Sleeplessness is among the most frequently reported side effects of steroids and immunosuppressive medications (1) and is associated with non-adherence (2). Symptoms such as pain and itching may also reduce sleep quantity and quality.
System | Long-Term Side Effects |
---|---|
Dermatological | Acne, increased bruising, impaired wound healing |
Endocrine | Diabetes mellitus/glucose intolerance, cushingoid facies, hyperlipidemia, growth retardation, menstrual irregularities, hirsutism, weight gain—increased appetite, adrenal gland hormone suppression |
Side effects of immunosuppressant medications may include gastrointestinal problems like diarrhea, nausea, and vomiting. However, the most serious side effect of taking an immunosuppressant is the risk of infection.
Patients who take immunosuppressants should become fully vaccinated and get a booster dose to gain protection against SARS-CoV-2 infections.
Immunosuppressants hold back the immune system, helping to prevent cell damage and inflammation. These drugs minimize symptoms. They can even put an autoimmune disease into remission (you have no signs of the disease).
- Addison disease.
- Celiac disease - sprue (gluten-sensitive enteropathy)
- Dermatomyositis.
- Graves disease.
- Hashimoto thyroiditis.
- Multiple sclerosis.
- Myasthenia gravis.
- Pernicious anemia.