Abstract:
BACKGROUND AND OBJECTIVE:Characteristics of nucleoside reverse transcriptase inhibitors (NRTIs) make the drug class susceptible to elimination via continuous veno-venous hemofiltration (CVVH), potentially leading to suboptimal drug concentrations if given at the recommended anephric doses during CVVH. The objective of this study was to formulate NRTI dosing recommendations for adults receiving CVVH. METHODS:A mathematical formula that estimates the amount of drug likely to be removed during CVVH at various flow rates was used to calculate the supplemental NRTI dose required during CVVH. RESULTS:A proposed table of dosing recommendations for NRTIs during CVVH is presented. CONCLUSION:Clinicians should utilize these recommendations in the context of each individual patient, taking into consideration patient-specific factors and severity of illness. Future pharmacokinetic research correlating plasma and intracellular concentrations of NRTIs during CVVH is warranted to elucidate appropriate dosing.
journal_name
Clin Drug Investigjournal_title
Clinical drug investigationauthors
McLaughlin MM,Ammar AT,Gerzenshtein L,Scarsi KKdoi
10.1007/s40261-015-0275-9subject
Has Abstractpub_date
2015-04-01 00:00:00pages
275-80issue
4eissn
1173-2563issn
1179-1918journal_volume
35pub_type
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journal_title:Clinical drug investigation
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