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Cognitive Impairment Dialysis Multifactorial — ESENeph MCQ

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HardHaemodialysisCognitive Impairment Dialysis MultifactorialESENeph

A de-novo kidney-transplant recipient is starting belatacept. Which accompanying regimen is specified at transplantation in the UK SmPC?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: CBasiliximab induction, mycophenolate mofetil and corticosteroids

Explanation lettering: D = shown as A · A = shown as B · B = shown as D

C is correct. At transplantation, NULOJIX is administered with basiliximab induction, mycophenolate mofetil and corticosteroids. Steroid tapering must be cautious, especially with four to six HLA mismatches. Premedication is not routinely required, and the SmPC does not define the alternative induction/antimetabolite combinations listed.

Reference: NULOJIX 250 mg powder for concentrate for solution for infusion SmPC: https://www.medicines.org.uk/emc/product/4685/smpc