Disposition and pharmacodynamics of diuretics and antihypertensive agents in renal disease.

Abstract:

:The pharmacodynamic actions and disposition of diuretic and antihypertensive agents may be significantly modified in subjects with renal disease. Most studies on this question have dealt with alterations in the elimination kinetics of these drugs and, while they generate descriptive data, minimal insight about changes in dose-response relationships or mechanisms of drug action are provided by such investigations. Several basic principles which may serve as useful guidelines in determining how renal failure will influence the response to drugs have been considered. They include the following: degree of renal malfunction, intrinsic toxicity of the drug, alternative pathways for drug metabolism and elimination, elimination pharmacokinetics and dose-response characteristics. Several classes of diuretic agents (thiazides, furosemide) and antihypertensive drugs (hydralazine, methylopda, propranolol, prazosin, and clonidine) have been used as models to define how basic knowledge of renal and non-renal pathways for elimination of drugs and their pharmacodynamic actions may assist in establishing rational therapeutic regimens for these agents in patients with renal failure.

journal_name

Eur J Clin Pharmacol

authors

Mirkin BL,Green TP,O'Dea RF

doi

10.1007/BF00561487

subject

Has Abstract

pub_date

1980-07-01 00:00:00

pages

109-16

issue

1

eissn

0031-6970

issn

1432-1041

journal_volume

18

pub_type

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