Enalapril Associated with Furosemide Induced Acute Kidney Injury in an Infant with Heart Failure. A Case Report, a Revision of the Literature and a Pharmacovigilance Database Analysis.

Abstract:

:The use of angiotensin converting enzyme (ACE) inhibitors in combination with diuretics is a common strategy used for the treatment of patients affected by heart failure. An infant affected by initial congestive cardiac failure, after starting the treatment with enalapril in association with furosemide, developed acute kidney injury (AKI). No underlying renal disease or renal artery stenosis was found. He recovered from kidney injury after the therapy was suspended, thus suggesting that the drug combination is responsible for the onset of the adverse reaction. The present case report, the appraisal of the current knowledge on the onset of AKI and the analysis of available pharmacovigilance databases indicate that particular caution should be exercised when infants affected by heart failure are treated with the enalapril and furosemide combination therapy. Moreover, we strongly suggest an up-to-date revision of the ACE-inhibitor dosing guidelines in pediatric patients to define unambiguously the safe upper limits of this class of drugs.

journal_name

Pharmacology

journal_title

Pharmacology

authors

Fabiano V,Carnovale C,Gentili M,Radice S,Zuccotti GV,Clementi E,Perrotta C,Mameli C

doi

10.1159/000441950

subject

Has Abstract

pub_date

2016-01-01 00:00:00

pages

38-42

issue

1-2

eissn

0031-7012

issn

1423-0313

pii

000441950

journal_volume

97

pub_type

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