Prevention better than cure:o Identify patients at risk of adverse effectso Baseline evaluationo Regular clinical and laboratory monitoringo Drugs: PPI, Folic acid.Most immunosuppressants can be safely administered in patients with HCV and occult HBV. Acute HBV infection requires treatment prior to immunosuppression.IGRA is the preferred screening method for latent tubercular infection among Indians. INH and RCIN treatment for at least 1 month prior to immunosuppression.A...
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