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Drugs and the Kidney

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Contemporary Nephrology
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Abstract

In the past 2 years, there has been continued emphasis in the literature on drug therapy in the patient with kidney disease. Vesell provided a concise summary of the influence of renal disease on drug response.1 He emphasized the multiple host factors affecting drug disposition besides renal dysfunction which preclude a simplistic view of the problem for the clinician.2 Paxton summarized the highlights of a conference on therapeutic drug monitoring at the First World Congress in Clinical Pharmacology and Therapeutics.3 The basic pharmacokinetic principles on which practical clinical use of drugs is based are well covered in recent books and papers.4–7 Tables providing updated specific dosage recommendations are also available.89 Fabre et al. have provided a useful practical framework based on kinetic principles on which to select a drug of choice for the renal failure patient among any given class of drugs such as β-adrenoreceptor blocking agents or antibiotics.10

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Bennett, W.M. (1983). Drugs and the Kidney. In: Klahr, S., Massry, S.G. (eds) Contemporary Nephrology. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-6722-6_16

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