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Permalink Reply by Patti Phillips on July 27, 2011 at 5:22pm Hi David. I would definitely question your drug supplier. I get my meds from Walmart BUT they are capsules. I also got meds from Vanderbilt immediately after my liver transplant and they were the same capsules. All of the research I have done in an effort to know about my drugs has shown Prograf in only capsules. I am a nurse so I was taught to question all medications if I doubted their accuracy, I believe that is a good practice for everyone. Since you mentioned that they now look different, check it out! Good luck.
Patti

Permalink Reply by David Goodman on July 27, 2011 at 5:48pm 
Permalink Reply by David A. Bjorkman on July 27, 2011 at 5:57pm Only two replys and Im already convinced that I need to address this issue.I will play the phone game til I get a human! I am prescribed 1mg twice a day but have to wonder if thats what Im getting. Thanx so much!!

Permalink Reply by Terry Funk McGee on July 27, 2011 at 6:37pm I experienced this with one of my supplemental immuno drugs. They came in different shapes. Sort of scared me. I called my prescription company (CVS mail order) and actually spoke to a pharmacist. I had them note on my file the exact shaped pill I wanted. You can do that. Check to see if they are using another supplier, but that would be a generic. Not sure if prograff has gone generic. Check that out. That could be the issue with a different shape. If they are sending you a generic at times, tell your Dr. to note on your prescription that you need the drug exactly as written. All pharmacist will send a generic if available instead of name brand. I always want name brand as I know what company it came from!!!! Hope this helps. Good luck.
Permalink Reply by Marina on July 27, 2011 at 10:12pm Terry,
Tacrolimus is the generic for of Prograf. It is a slow release capsule though.
At hospital I was taking Prograf, but upon discharge I was told I would be sent home with generic (Tacro), still a capsule, it is different color.
I was given 1mg and 0.5mg since at times I took 1.5mg at hospital.
At the manufacture changed, they (walgreens) not only put a yellow sticker on the information sheet but the pharmacy tech also mentioned that manufacturer had change. It was different color than I was used to. When I came home I looked i t up on http://www.rxlist.com/pill-identification-tool/article.htm to make sure they had given me the right med.
If your center only wants you to take name brand you need to tell Dr to write down "do not sub" on Rx. Otherwise the pharmacist will automatically give you generic if available. Most insurances insist on generics so pharmacys are just following what insurance says.

Permalink Reply by Cynthia Jane Tidwell on July 27, 2011 at 11:03pm I take Progaf I order it from CVS DRUGS
it is always the same size pill.

Permalink Reply by David A. Bjorkman on July 28, 2011 at 2:47pm I called xpress scripts and they now have a new phone system that is voice activated.I spoke a couple words and had a pharmacist in no time!! Very cool. She was surprised and after explaining the markings on the 2 different sized pills she cracked the case and discovered that while it was the same dosage it was two different suppliers.Basicly,I was getting half prograf and half tacro.I told her I want all tacro and will be talking to doc about this and may need all prograf in the future.
I wanna thank you folks for quick response and as always with this site,caring and knowledgeable people who understand right where Im at. Each of us is a blessing to each other! Thanx again!!
Permalink Reply by Marina on July 28, 2011 at 10:57pm David,
I'm so glad that was resolved. I'm just surprised they would give you both generic and name brand, Why not either or? It makes no sense.
It's a good idea to check with TX neph about which drug (generic or brandname) you should be taking. And to make sure he/she writes it the prescription.
Take care :)
Marina
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