13 träffar

DrugSelective dopamine-1 receptor agonist
Fenoldopam

…alpha or beta effects, with onset within minutes and duration under one hour — theoretically attractive in hypertensive crisis with renal involvement, but without documented hard…

DrugLong-acting dihydropyridine calcium channel blocker
Amlodipine

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

DrugDirect thrombin inhibitor (factor IIa)
Dabigatran

…weighs heavily in patients who may need emergency surgery. The price is that approximately 80 % of absorbed drug is eliminated renally, so renal function governs…

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

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

DrugLoop diuretic
Furosemide

…transporter in the loop of Henle. The dose–response relationship is a threshold curve, not a line: below the threshold nothing happens, and in renal…

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

…with protamine within minutes. This is why unfractionated heparin is the first choice in severe renal failure, in the bleeding-prone patient, and when surgery…

DrugNon-selective COX inhibitor, propionic acid derivative
Ibuprofen

…COX inhibitor, propionic acid derivative The first-line NSAID in Sweden and the one with the least cardiovascular risk at a low dose. A short…

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…