Kidney Transplant Instruction

Welcome home! 🎉 Your transplant is a fresh start. Following these steps carefully will help keep your new kidney healthy and you feeling your best. Please read this guide with a family member so you always have support.

These medications protect your kidney. Never skip or stop them without talking to your doctor first.

• Monitor your blood pressure every day before taking your BP medicines
• Target Tacrolimus blood level: 7–10 ng/mL (your doctor will guide you)

✅  Foods that are safe for you:

• Well-cooked chicken, fish, and boiled eggs (up to 4–5 eggs/day)
• Milk is fine
• Boiled or purified water only

❌  Foods to avoid:

• Raw or uncooked foods, outside fruits, salads, and fresh juices
• Junk food, smoked food, and processed items
• Red meat and curd/yogurt
• Grapefruit, pomegranate, and pomelo – these interfere with your medication!

• Take a short walk every day – start slowly and build up
• Use your breathing exercise device (incentive spirometry) for 6 months
• Wear your DVT compression stockings during the day
• Do NOT lift anything heavier than 5 kg for the first 6–8 weeks
• Stay away from crowded places; if you must go, wear two masks
• Do NOT ride on two-wheelers until your DJ stent is removed (Day 21)

• Wash your hands often with soap and use sanitizer regularly
• Brush your teeth twice a day and keep your mouth clean
• Use a separate toilet if possible
• Change your clothes every day
• Change bed sheets every 1–3 days
• Use your own utensils and towels – don't share
• Stay away from pets, dusty areas, and anyone who is sick

• Keep a daily intake-output chart (how much you drink vs. how much urine you pass) for 6 months
• Weigh yourself every morning at the same time
• Call your doctor if your weight changes by ±5 kg from your usual 'dry weight'

Please never miss your follow-up visits. Your doctor catches problems early this way!

• Suture (stitch) removal: Day 12–14 after transplant
• DJ stent removal: Day 21 after transplant

• Always check with your doctor before getting any vaccine
• You must NOT receive live vaccines such as BCG, MMR, or Typhoid vaccine

• Apply SPF 50+ sunscreen before going outdoors
• Wear long sleeves, a hat, or carry an umbrella when outside

• If you forget a dose, take it as soon as you remember – but NEVER double up on the next dose
• Avoid painkillers like Ibuprofen or Naproxen (NSAIDs) – they can harm your kidney
• Do NOT take any herbal or traditional medicines without asking your doctor first

Recovery is a journey, and it's completely normal to have ups and downs. Be kind to yourself.

• The steroid medication (Prednisolone) can sometimes cause mood changes or irritability – this is a known side effect
• Talk to your family, friends, or a counselor if you feel low or anxious
• Your care team is here to help you – don't hesitate to reach out

• You can resume sexual activity after 6–8 weeks
• Always use protection (condoms) and maintain good hygiene
• Women: Avoid pregnancy for at least 1.5 years after transplant
• When you are ready to plan a family, speak with your doctor first – some medications may need to be adjusted before conception

• Go to the lab between 7:45 AM and 8:00 AM
• Do NOT take your Tacrolimus dose before the blood sample is taken

Can use CareFlux app in play store to tract you prescription, weight, output /intake, sugar and bloodpressure