Drug-induced impairment of renal function

作者：Anushree C. Shirali, George Sunny Pazhayattil · 发表于：International Journal of Nephrology and Renovascular Disease · 年份：2014 · DOI：10.2147/ijnrd.s39747 · 被引用次数：231 · 研究领域：Pharmacological Effects and Toxicity Studies、Drug-Induced Hepatotoxicity and Protection、Pregnancy and Medication Impact

Pharmaceutical agents provide diagnostic and therapeutic utility that are central to patient care. However, all agents also carry adverse drug effect profiles. While most of these are clinically insignificant, some drugs may cause unacceptable toxicity that impacts negatively on patient morbidity and mortality. Recognizing adverse effects is important for administering appropriate drug doses, instituting preventive strategies, and withdrawing the offending agent due to toxicity. In the present article, we will review those drugs that are associated with impaired renal function. By focusing on pharmaceutical agents that are currently in clinical practice, we will provide an overview of nephrotoxic drugs that a treating physician is most likely to encounter. In doing so, we will summarize risk factors for nephrotoxicity, describe clinical manifestations, and address preventive and treatment strategies.