Machado Nogueira, JFreire, MJVila Nova, VJesus, G2021-11-242021-11-242021Case Rep Nephrol Dial. 2021 Aug 4;11(2):241-246.http://hdl.handle.net/10400.17/3924Tacrolimus is an immunosuppressive drug frequently used in solid organ transplant recipients. This drug has well-documented neuropsychiatric side effects in the literature, although emergence of psychotic symptoms is rare, being only described in a very few case reports. We present a case of a renal transplant recipient with no prior psychiatric history, who developed a severe psychosis secondary to supratherapeutic tacrolimus' blood concentrations. This case highlights the importance of clinical awareness to rare but severe neuropsychiatric effects due to tacrolimus use.engCHLC PSIQPsychosisTacrolimusNeurotoxicNeuropsychiatric Side EffectsWhen Paranoia Comes with the Treatment: Psychosis Associated with Tacrolimus Usejournal article10.1159/000515048.