Knowledge (XXG)

Nephrotoxicity

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Abyar, Selda; Khandar, Ali Akbar; Salehi, Roya; Abolfazl Hosseini-Yazdi, Seyed; Alizadeh, Effat; Mahkam, Mehrdad; Jamalpoor, Amer; White, Jonathan M.; Shojaei, Motahhareh; Aizpurua-Olaizola, O.; Masereeuw, Rosalinde (December 2019).
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Drug-induced glomerular disease is not common but there are a few drugs that have been implicated. Glomerular lesions occur primarily through immune-mediated pathways rather than through direct drug toxicity.
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Nephrotoxicity should not be confused with some medications predominantly excreted by the kidneys needing their dose adjusted for the decreased kidney function (e.g.,
805: 410:, which may be more useful clinically when dealing with patients with early kidney disease. Normal creatinine level is between 80 - 120 μmol/L. 400:
indicates poor kidney function. In interventional radiology, a patient's creatinine clearance levels are all checked prior to a procedure.
366:, found in some plants and in some herbal supplements derived from those plants, has been shown to have nephrotoxic effects on humans. 622: 512: 108: 222: 210: 204: 175: 569: 397: 810: 39: 784: 741: 482: 35: 776: 733: 716:
Choudhury, Devasmita; Ahmed, Ziauddin (2006). "Drug-associated renal dysfunction and injury".
682: 634: 603: 585: 363: 353: 187: 766: 725: 672: 593: 577: 425: 403: 165: 46:. There are various forms, and some drugs may affect kidney function in more than one way. 407: 43: 573: 598: 558:"In vitro nephrotoxicity and anticancer potency of newly synthesized cadmium complexes" 557: 532: 328: 317: 169: 132: 120: 112: 799: 642: 522: 300: 263: 226: 141: 128: 87: 745: 788: 379: 312: 179: 161: 76: 487: 527: 288: 268: 191: 91: 80: 581: 499: 385: 294: 242: 238: 234: 218: 214: 157: 116: 95: 589: 396:
Nephrotoxicity is usually monitored through a simple blood test. A decreased
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contains some nephrotoxins which can cause inflammation of the
473: 443: 434: 449: 467: 461: 755:"Nephrotoxicity related to new therapeutic compounds" 464: 458: 452: 437: 431: 428: 291:
are known to cause focal segmental glomerulosclerosis
470: 446: 440: 320:—reversible at low doses, irreversible at high doses 455: 702:USMLE WORLD QBanks 2009, Step1, Pharmacology, Q74 654: 652: 8: 50:are substances displaying nephrotoxicity. 770: 676: 597: 698: 696: 659:Naesens M, Kuypers DR, Sarwal M (2009). 297:therapy can cause membranous nephropathy 544: 661:"Calcineurin inhibitor nephrotoxicity" 623:"Can acute renal failure be prevented" 7: 550: 548: 718:Nature Clinical Practice Nephrology 14: 424: 160:), ACE inhibitors, ciclosporin, 806:Toxins by organ system affected 503:, yielding "kidney poisoning". 258:Chronic interstitial nephritis 1: 753:Szeto, CC; Chow, KM (2005). 513:Contrast-induced nephropathy 307:Causes of diabetes insipidus 205:Acute interstitial nephritis 199:Acute interstitial nephritis 38:, both toxic chemicals and 827: 582:10.1038/s41598-019-51109-9 109:Proximal convoluted tubule 665:Clin. J. Am. Soc. Nephrol 382:, aka food additive E297 275:Acute glomerulonephritis 16:Toxicity in the kidneys 406:is another measure of 174:Tubular obstruction: 103:Direct tubular effect 678:10.2215/CJN.04800908 398:creatinine clearance 211:β-lactam antibiotics 203:Main article : 730:10.1038/ncpneph0076 627:J R Coll Surg Edinb 574:2019NatSR...914686A 115:antibiotics (e.g., 621:Galley HF (2000). 562:Scientific Reports 340:Other nephrotoxins 772:10.1081/jdi-56595 364:Aristolochic acid 188:diethylene glycol 61:Types of toxicity 818: 792: 774: 749: 703: 700: 691: 690: 680: 656: 647: 646: 641:. Archived from 618: 612: 611: 601: 552: 480: 479: 476: 475: 472: 469: 466: 463: 460: 457: 454: 451: 448: 445: 442: 439: 436: 433: 430: 404:Serum creatinine 166:cyclophosphamide 826: 825: 821: 820: 819: 817: 816: 815: 796: 795: 752: 715: 712: 710:Further reading 707: 706: 701: 694: 658: 657: 650: 620: 619: 615: 554: 553: 546: 541: 509: 483:combining forms 427: 423: 416: 408:kidney function 394: 376:in some people. 342: 309: 277: 260: 201: 133:immunoglobulins 105: 68: 63: 44:kidney function 34:effect of some 17: 12: 11: 5: 824: 822: 814: 813: 808: 798: 797: 794: 793: 750: 711: 708: 705: 704: 692: 671:(2): 481–509. 648: 645:on 2005-10-18. 613: 543: 542: 540: 537: 536: 535: 533:Onconephrology 530: 525: 520: 515: 508: 505: 420:nephrotoxicity 415: 412: 393: 390: 389: 388: 383: 377: 367: 361: 341: 338: 337: 336: 331: 329:Demeclocycline 326: 321: 318:Amphotericin B 315: 308: 305: 304: 303: 298: 292: 276: 273: 272: 271: 266: 259: 256: 255: 254: 200: 197: 196: 195: 172: 170:amphotericin B 139: 121:amphotericin B 113:Aminoglycoside 104: 101: 100: 99: 88:ACE inhibitors 84: 67: 66:Cardiovascular 64: 62: 59: 20:Nephrotoxicity 15: 13: 10: 9: 6: 4: 3: 2: 823: 812: 809: 807: 804: 803: 801: 790: 786: 782: 778: 773: 768: 765:(3): 329–33. 764: 760: 759:Renal Failure 756: 751: 747: 743: 739: 735: 731: 727: 723: 719: 714: 713: 709: 699: 697: 693: 688: 684: 679: 674: 670: 666: 662: 655: 653: 649: 644: 640: 636: 632: 628: 624: 617: 614: 609: 605: 600: 595: 591: 587: 583: 579: 575: 571: 567: 563: 559: 551: 549: 545: 538: 534: 531: 529: 526: 524: 523:Neurotoxicity 521: 519: 516: 514: 511: 510: 506: 504: 502: 501: 496: 495: 490: 489: 484: 478: 421: 413: 411: 409: 405: 401: 399: 391: 387: 384: 381: 378: 375: 371: 368: 365: 362: 359: 355: 351: 347: 344: 343: 339: 335: 332: 330: 327: 325: 322: 319: 316: 314: 313:Lithium salts 311: 310: 306: 302: 301:Penicillamine 299: 296: 293: 290: 286: 283: 282: 281: 274: 270: 267: 265: 264:Lithium salts 262: 261: 257: 252: 248: 244: 240: 236: 232: 228: 227:ciprofloxacin 224: 223:sulphonamides 220: 216: 212: 209: 208: 207: 206: 198: 193: 189: 185: 181: 177: 176:sulphonamides 173: 171: 167: 163: 162:lithium salts 159: 155: 151: 147: 143: 142:Distal tubule 140: 138: 134: 130: 129:radiocontrast 126: 122: 118: 114: 110: 107: 106: 102: 97: 93: 89: 85: 82: 78: 74: 70: 69: 65: 60: 58: 56: 51: 49: 45: 41: 37: 33: 29: 25: 21: 762: 758: 724:(2): 80–91. 721: 717: 668: 664: 643:the original 633:(1): 44–50. 630: 626: 616: 568:(1): 14686. 565: 561: 498: 492: 486: 419: 417: 402: 395: 380:Fumaric acid 278: 202: 180:methotrexate 57:, lithium). 52: 48:Nephrotoxins 47: 19: 18: 528:Ototoxicity 289:Pamidronate 269:Ciclosporin 192:triamterene 92:ciclosporin 81:vasodilator 40:medications 811:Nephrology 800:Categories 539:References 386:Orellanine 295:Gold salts 243:furosemide 239:cimetidine 235:ranitidine 219:rifampicin 215:vancomycin 158:diclofenac 117:gentamicin 96:tacrolimus 77:β-blockers 36:substances 30:. It is a 590:2045-2322 418:The word 414:Etymology 392:Diagnosis 334:Foscarnet 251:phenytoin 247:thiazides 184:aciclovir 154:ibuprofen 125:cisplatin 73:diuretics 71:General: 32:poisonous 781:15957551 746:42733127 738:16932399 687:19218475 639:10815380 608:31604983 518:Toxicity 507:See also 324:Fluoride 137:mannitol 24:toxicity 789:6111262 599:6789105 570:Bibcode 488:nephro- 481:) uses 374:kidneys 370:Rhubarb 358:cadmium 354:mercury 350:Uranium 150:aspirin 131:media, 86:Local: 55:heparin 28:kidneys 26:in the 787:  779:  744:  736:  685:  637:  606:  596:  588:  500:-icity 356:, and 285:Heroin 231:NSAIDs 148:(e.g. 146:NSAIDs 83:agents 785:S2CID 742:S2CID 360:salts 42:, on 777:PMID 734:PMID 683:PMID 635:PMID 604:PMID 586:ISSN 494:tox- 346:Lead 287:and 767:doi 726:doi 673:doi 594:PMC 578:doi 485:of 119:), 22:is 802:: 783:. 775:. 763:27 761:. 757:. 740:. 732:. 720:. 695:^ 681:. 667:. 663:. 651:^ 631:45 629:. 625:. 602:. 592:. 584:. 576:. 564:. 560:. 547:^ 497:+ 491:+ 444:oʊ 352:, 348:, 249:, 245:, 241:, 237:, 233:, 229:, 225:, 221:, 217:, 213:, 190:, 186:, 182:, 178:, 168:, 164:, 156:, 152:, 144:: 135:, 127:, 123:, 111:: 94:, 90:, 79:, 75:, 791:. 769:: 748:. 728:: 722:2 689:. 675:: 669:4 610:. 580:: 572:: 566:9 477:/ 474:i 471:t 468:ɪ 465:s 462:ɪ 459:s 456:ˈ 453:k 450:ɒ 447:t 441:r 438:f 435:ɛ 432:n 429:ˌ 426:/ 422:( 253:. 194:. 98:.

Index

toxicity
kidneys
poisonous
substances
medications
kidney function
heparin
diuretics
β-blockers
vasodilator
ACE inhibitors
ciclosporin
tacrolimus
Proximal convoluted tubule
Aminoglycoside
gentamicin
amphotericin B
cisplatin
radiocontrast
immunoglobulins
mannitol
Distal tubule
NSAIDs
aspirin
ibuprofen
diclofenac
lithium salts
cyclophosphamide
amphotericin B
sulphonamides

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