Nephrotoxic drugs
WikiDoc Resources for Nephrotoxic drugs |
Articles |
---|
Most recent articles on Nephrotoxic drugs Most cited articles on Nephrotoxic drugs |
Media |
Powerpoint slides on Nephrotoxic drugs |
Evidence Based Medicine |
Cochrane Collaboration on Nephrotoxic drugs |
Clinical Trials |
Ongoing Trials on Nephrotoxic drugs at Clinical Trials.gov Trial results on Nephrotoxic drugs Clinical Trials on Nephrotoxic drugs at Google
|
Guidelines / Policies / Govt |
US National Guidelines Clearinghouse on Nephrotoxic drugs NICE Guidance on Nephrotoxic drugs
|
Books |
News |
Commentary |
Definitions |
Patient Resources / Community |
Patient resources on Nephrotoxic drugs Discussion groups on Nephrotoxic drugs Patient Handouts on Nephrotoxic drugs Directions to Hospitals Treating Nephrotoxic drugs Risk calculators and risk factors for Nephrotoxic drugs
|
Healthcare Provider Resources |
Causes & Risk Factors for Nephrotoxic drugs |
Continuing Medical Education (CME) |
International |
|
Business |
Experimental / Informatics |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]
Please Take Over This Page and Apply to be Editor-In-Chief for this topic: There can be one or more than one Editor-In-Chief. You may also apply to be an Associate Editor-In-Chief of one of the subtopics below. Please mail us [3] to indicate your interest in serving either as an Editor-In-Chief of the entire topic or as an Associate Editor-In-Chief for a subtopic. Please be sure to attach your CV and or biographical sketch.
Antibiotics
- Aminoglycosides (10-15% Incidence of Acute Tubular Necrosis)
- Occurs in 10-20% patients on 7 day course
- Results in non-oligurics; increased Creatinine
- A single dose early in septic course is usually safe
- Sulfonamides
- Amphotericin B (Incidence 80-90%)
- Levofloxacin
- Ciprofloxacin
- Rifampin
- Tetracycline
- Acyclovir (only nephrotoxic in intravenous form)
- Pentamidine
Chemotherapy and Immunosuppressants
Heavy Metals
- Polydipsia and Nephrogenic Diabetes Insipidus
- Acute Renal Failure
- Dialysis indications: Creatinine >2.5 or Seizures, ALOC, Rhabdomyolysis
- Chronic kidney disease with fibrosis
AntiHyperlipidemics
- Associated with Acute Renal Failure due to Rhabdomyolysis
- Fenofibrate (Tricor)
- Increases Serum Creatinine without significant decrease in GFR
- Serum Creatinine rise is reversible on stopping Fenofibrate
Chemotherapy
- Cisplatin
- Ifosphamide
- Causes Fanconi's Syndrome
Miscellaneous Drugs
- Chronic Stimulant Laxative use
- Resulting chronic volume depletion and Hypokalemia causes nephropathy
- Radiographic contrast
- ACE Inhibitors
- Expect an increase of Serum Creatinine in Chronic kidney disease
- Low dose Aspirin reduces Renal function in elderly
- Decreased Creatinine Clearance after 2 weeks of use
- Changes persisted for at least 3 weeks off Aspirin
- Low dose Aspirin reduces Renal function in elderly
- Mesalamine (Asacol, Pentasa)
- Mesalamine is an NSAID analog and has systemic absorption from the bowel
- Vasculitis reaction
- Nephrotic Syndrome type reaction