Pharmaceutisch Weekblad

, Volume 9, Issue 2, pp 104–109 | Cite as

Drug therapy in continuous ambulatory peritoneal dialysis patients

  • R. Janknegt
  • J. H. T. M. Koelman
Pharmacokinetics and Organ Dysfunction


Transport of solutes across the peritoneal membrane in continuous ambulatory peritoneal dialysis (CAPD) is determined by patient-related factors (concentration gradient, membrane surface area, blood flow and membrane permeability) and by drug-related factors (charge on the molecule, protein binding, molecular weight, lipophilicity). On the basis of the chemical properties of a drug a prediction of the peritoneal clearance rate in CAPD patients is given, by the formulaCL capd = 75√free fraction/molecular weight. The implications of this formula are discussed. It is concluded that usually it is not necessary to change the dose as compared with end-stage renal disease patients who are not treated with CAPD.

Key words

Administration, intraperitoneal Clearance Kidney diseases Peritoneal dialysis, continuous Ambulatory Peritonitis Pharmacokinetics Protein binding 


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Copyright information

© Royal Dutch Association for Advancement of Pharmacy 1987

Authors and Affiliations

  • R. Janknegt
    • 1
  • J. H. T. M. Koelman
    • 2
  1. 1.Department of Clinical PharmacyMedical Centre AlkmaarHA AlkmaarThe Netherlands
  2. 2.Department of HaemodialysisMedical Centre AlkmaarHA AlkmaarThe Netherlands

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