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Clin J Am Soc Nephrol. 2018 Dec 07;13(12):1897-1908. doi: 10.2215/CJN.00150118. Epub 2018 Apr 05.

Pharmacology behind Common Drug Nephrotoxicities.

Clinical journal of the American Society of Nephrology : CJASN

Mark A Perazella

Affiliations

  1. Section of Nephrology, Department of Medicine, Yale University, New Haven, Connecticut and Veterans Affairs Medical Center, West Haven, Connecticut [email protected].

PMID: 29622670 PMCID: PMC6302342 DOI: 10.2215/CJN.00150118

Abstract

Patients are exposed to numerous prescribed and over-the-counter medications. Unfortunately, drugs remain a relatively common cause of acute and chronic kidney injury. A combination of factors including the innate nephrotoxicity of drugs, underlying patient characteristics that increase their risk for kidney injury, and the metabolism and pathway of excretion by the kidneys of the various agents administered enhance risk for drug-induced nephrotoxicity. This paper will review these clinically relevant aspects of drug-induced nephrotoxicity for the clinical nephrologist.

Copyright © 2018 by the American Society of Nephrology.

Keywords: Acute Kidney Injury; Drug Transporters; Humans; Nephrologists; Nonprescription Drugs; Pharmacology; Proximal Tubulopathy; Renal Elimination; Risk; acute renal failure; drug nephrotoxicity; kidney; metabolism

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