Drug induced rhabdomyolysis.

Abstract:

:Rhabdomyolysis is a clinical condition of potential life threatening destruction of skeletal muscle caused by diverse mechanisms including drugs and toxins. Given the fact that structurally not related compounds cause an identical phenotype pinpoints to common targets or pathways, responsible for executing rhabdomyolysis. A drop in myoplasmic ATP paralleled with sustained elevations in cytosolic Ca²⁺ concentration represents a common signature of rhabdomyolysis. Interestingly, cardiac tissue is hardly affected or only secondary, as a consequence of imbalance in electrolytes or acid-base equilibrium. This dogma is now impaired by compounds, which show up with combined toxicity in heart and skeletal muscle. In this review, cases of rhabdomyolysis with novel recently approved drugs will be explored for new target mechanisms in the light of previously described pathomechanisms.

journal_name

Curr Opin Pharmacol

authors

Hohenegger M

doi

10.1016/j.coph.2012.04.002

subject

Has Abstract

pub_date

2012-06-01 00:00:00

pages

335-9

issue

3

eissn

1471-4892

issn

1471-4973

pii

S1471-4892(12)00052-5

journal_volume

12

pub_type

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