Conversation: The conversation between human and AI assistant.
[|Human|] Hello Doc. I am AAAAA and i am a post kidney transplant paient. I am taking pangaf as a tacrolimus as told by my doc. I found some other tacrolimus as well in the market which is cheaper compare to pangraf. So my question is, can i take other tacrolimus such as Vingraf instead of pangraf? Is Vingraf is same as Pangraf ?
[|AI|]  Hi AAAA, both medicines contain tacrolimus. And can be used only thing is now that you are on one of the medicines, your body is tuned to that medicine. The amount of immunosuppressive effect even with same dose of some other companies' medicine may be different. That the body has to slightly readjust. This usually should not be a problem but in rare case can trigger toxicity or rejection. Hence it is generally not recommended to change the brand until-unless the cost difference in prohibitively high. Hope this helps