13 träffar

DrugSelective dopamine-1 receptor agonist
Fenoldopam

Corlopam Selective dopamine-1 receptor agonist The only antihypertensive that increases renal perfusion while blood pressure falls. A selective D1 agonist without alpha or beta…

DrugLong-acting dihydropyridine calcium channel blocker
Amlodipine

…use: once-daily dosing, a half-life of almost two days, and no dose adjustment in renal impairment. Unlike verapamil and diltiazem, amlodipine has no…

DrugDirect thrombin inhibitor (factor IIa)
Dabigatran

…that approximately 80 % of absorbed drug is eliminated renally, so renal function governs treatment entirely. Dyspepsia affects one in ten patients and is the most…

DrugSGLT2 inhibitor
Dapagliflozin

…and mildly reduced EF, and DAPA-CKD demonstrated slowed renal function decline and reduced mortality in chronic kidney disease with albuminuria, with or without diabetes…

DrugSGLT2 inhibitor
Empagliflozin

…fraction in EMPEROR-Reduced and EMPEROR-Preserved, and slowed renal function decline down to eGFR 20 in EMPA-KIDNEY. The glucose-lowering effect diminishes as…

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)

…the half-life is one to two hours, the effect can be measured in real time with APTT, and it can be neutralised completely with…

DrugNon-selective COX inhibitor, propionic acid derivative
Ibuprofen

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

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

…regimen. Used in peripheral neuropathic pain and as adjunctive treatment in focal epilepsy. Excreted unchanged renally, making renal function the single most important dosing variable.

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…