Advice for transplant patients

Transplant clinic availability 

We are open from 8.30am – 6.00pm Monday to Friday

We are closed weekends and Bank holidays.

For help and advice phone: 01895 823 737 (switchboard). 

Ask for the operator and then Bleep 6163 (Monday-Friday) or Bleep 6160 evenings, weekends and Bank holidays.

What if there's an emergency?

In an emergency, dial 999. Once you get to your local A&E, the treating hospital should contact Harefield. Please ask a relative to keep us informed.

Immunosuppression medication (Tacrolimus, Cyclosporin, Sirolimus)

Remember to take your medication at regular times, 10.00am and 10.00pm. If you should forget to take a dose then contact the transplant clinic for advice.

Clinic visits and blood tests 

On clinic visit days or blood test appointments with your GP, do not take your Tacrolimus until after you’ve had your blood test. However, remember to bring your medication to clinic with you and to take them after your test.


Check your temperature daily or if at any time you feel unwell. The normal temperature range is from 35.5 – 37 degrees. If you develop a temperature above 37.5, please notify the clinic.


Weigh yourself every morning before breakfast. If you gain approximately 4 pounds or 2 kilograms in two days, notify the clinic.

Vomiting and diarrhoea

If you develop an episode of vomiting or diarrhoea, please notify the clinic so that we can advise you what course of action to take.

Flu-like symptoms, swollen ankles or unexplained tiredness

If you develop any of the above, please contact the clinic for advice.

Grapefruit and grapefruit juice

Please do not have grapefruit or drinks containing grapefruit.


Follow the restricted food guidelines in your information booklet.

Public transport and crowded places 

Avoid using public transport or visiting crowded places such as shopping centres or supermarkets in the first three months after transplant. You may go out and about but choose a quiet time and not a busy weekend.

Medicines to avoid

Avoid over-the-counter medicines such as Ibuprofen, Brufen and Nurofen, as they interact with your Tacrolimus and affect the levels.


The following antibiotics Erythromycin and Clarithromycin should not be taken as they interact with your Tacrolimus and affect the levels. If your GP prescribes either of these, do NOT take them, and contact the clinic for advice.

Herbal remedies

Do not take any herbal remedies.

Always bring your medicines, blue book and overnight bag with you when attending clinic.

Queries: Any queries, however small, please do not hesitate to contact us.

Vaccination requirements for transplant patients

Recommended post-transplant:

  • Pneumovax

  • Annual influenza vaccine

Not all vaccines can be given to transplant recipients and care needs to be taken to avoid the live vaccines.

Below is a list of vaccines which can and cannot be given to transplant recipients:

Vaccination which can safely be administered Vaccinations are unsafe and cannot be administered:
  • Cholera
  • Diphtheria - adsorbed
  • Inactivated Polio (IPV, SALK)
  • Influenza
  • Haemophilus influenza Type B (Hib)
  • Hepatitis A
  • Hepatitis B
  • Meningococcal Polysaccharide
  • Normal Human Immunoglobulin (Gammaglobulin, Kabigglobulin)
  • Pertussis
  • Pneumococcal Polysaccharide (Pneuomovax)
  • Rabies
  • Tetanus - adsorbed
  • Typhoid (Typhoid/Vac.A - killed organism) 
  • Typhoid (Vi Polysaccharide - Typhim Vi) 
  • Meningococcal
  • BCG (Bacillus Calmette-Guerin)
  • MMR (Measles, Mumps, Rubella)
  • Measles
  • Mumps
  • Rubella
  • Oral Polio (OPV, SABIN) including household contact 
  • Oral Typhoid (Vivotif)
  • Smallpox
  • Yellow fever


NB: All vaccines (except “passive vaccination” with immunoglobulin preparations) may be less effective in the immunosuppressed patient.

Contact the team

Harefield Hospital, Hill End Road, Harefield, Middlesex, UB9 6JH

Telephone: +44(0)1895 823 737