13 träffar

DrugLoop diuretic
Furosemide

…curve, not a line: below the threshold nothing happens, and in renal failure the threshold dose must be raised to achieve any effect at all.

DrugIndirect thrombin and factor Xa inhibitor via antithrombin
Heparin (unfractionated)

…why unfractionated heparin is the first choice in severe renal failure, in the bleeding-prone patient, and when surgery or thrombolysis may become necessary at…

DrugLong-acting dihydropyridine calcium channel blocker
Amlodipine

…adjustment in renal impairment. Unlike verapamil and diltiazem, amlodipine has no clinically significant negative inotropic effect and can therefore be used in heart failure with…

DrugSGLT2 inhibitor
Dapagliflozin

…heart failure with reduced ejection fraction, DELIVER showed equivalent benefit with preserved and mildly reduced EF, and DAPA-CKD demonstrated slowed renal function decline and…

DrugSGLT2 inhibitor
Empagliflozin

…reduced heart failure events regardless of ejection fraction in EMPEROR-Reduced and EMPEROR-Preserved, and slowed renal function decline down to eGFR 20 in EMPA…

DrugSelective dopamine-1 receptor agonist
Fenoldopam

…antihypertensive that increases renal perfusion while blood pressure falls. A selective D1 agonist without alpha or beta effects, with onset within minutes and duration under…

DrugDirect thrombin inhibitor (factor IIa)
Dabigatran

…eliminated renally, so renal function governs treatment entirely. Dyspepsia affects one in ten patients and is the most common reason for discontinuation in clinical practice.

DrugNon-selective COX inhibitor, propionic acid derivative
Ibuprofen

…arrives and resolves quickly, which is an advantage: the drug suits as-needed use and can be discontinued with rapid recovery of renal function and…

DrugSecond-generation H₁-antihistamine
Cetirizine

…entirely free of sedation: a distinct minority of patients become drowsy, and this should be asked about in professional drivers. Renal function governs the dose.

DrugGabapentinoid, ligand to the α2δ subunit of voltage-gated calcium channels
Gabapentin

…dose range and three-times-daily regimen. Used in peripheral neuropathic pain and as adjunctive treatment in focal epilepsy. Excreted unchanged renally, making renal function…

Drugμ-opioidagonist
🇸🇪 Morphine

…Den aktiva metaboliten morfin-6-glukuronid utsöndras renalt och ackumuleras vid njursvikt — det förklarar varför äldre med nedsatt njurfunktion blir sederade på en dos som…

DrugAntiepileptikum med SV2A-bindning
🇸🇪 Levetiracetam

…och kan laddas intravenöst utan blodtrycksfall eller EKG-övervakning. Nästan hela dosen utsöndras renalt i oförändrad form, vilket gör njurfunktionen till den enda variabel som…

DrugMedellångverkande bensodiazepin utan aktiva metaboliter
🇸🇪 Oxazepam

…går att lita på. Oxazepam är själv en metabolit och behöver ingen oxidativ fas 1-metabolism — den glukuronideras direkt och utsöndras renalt, utan aktiva nedbrytningsprodukter…