Case Report

Manic-Like Psychosis Associated with Elevated Trough Tacrolimus Blood Concentrations 17 Years after Kidney Transplant

Table 1

Neurologic complications of tacrolimus therapy in transplants patients (1, 2, 3).

Common side effects (up to 60%)Mild neurotoxic effects (headache, paresthesias, tremor, sleep disturbances, photophobia, and dysesthesias)

Uncommon side effects (5–8%)Severe neurologic symptoms (confusion, seizures, posterior reversible encephalopathy, akinetic mutism, and dysarthria)

Rare side effects (0.4–5.2%)Psychosis, coma, aphasia, and intracranial haemorrhage