International Journal of Clinical Pharmacy

, Volume 40, Issue 4, pp 775–777 | Cite as

The role of the suspicious renal pharmacist in identifying unusual adverse drug reactions—why this is not a small problem

  • Carolyn Vera CoulterEmail author


Renal patients have a high incidence of adverse drug reactions due to both pharmacokinetic and pharmacodynamic changes and detecting these adverse drug reactions relies heavily on having a high index of suspicion—which seems to be invoked through experience, whether our own or that of our colleagues. Pharmacists must be vigilant about adverse drug reactions and it is vital that pharmacists continue to teach their colleagues about their experiences identifying less common adverse drug reactions and adverse drug reactions with unusual presentations in addition to simply reporting these adverse drug reactions.


Acute kidney injury Adverse drug reactions Chronic kidney disease Renal patients 



The author would like to thank the nephrologists, Dunedin Hospital, New Zealand for their invaluable teaching and clinical expertise.


No external funding was received.

Conflicts of interest

The author declares there are no conflicts of interest with respect to the authorship and/or publication of this article.


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Dunedin HospitalDunedinNew Zealand

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