SODIUM LOADING TREATMENT FOR AMPHOTERICIN B-INDUCED NEPHROTOXICITY

被引:19
作者
GARDNER, ML [1 ]
GODLEY, PJ [1 ]
WASAN, SM [1 ]
机构
[1] UNIV TEXAS, COLL PHARM, ROOM 5110, AUSTIN, TX 78712 USA
来源
DICP-THE ANNALS OF PHARMACOTHERAPY | 1990年 / 24卷 / 10期
关键词
D O I
10.1177/106002809002401006
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
The increased frequency and duration of antifungal treatment with amphotericin B in immunocompromised patients has stimulated a great deal of research into the mechanisms of its nephrotoxic effects and treatment modalities designed to attenuate these effects. A review of amphotericin B-induced nephrotoxicity, the underlying pathophysiologic mechanisms, and the role of salt loading as a means of minimizing renal impairment are described. Both animal and human studies regarding the efficacy of sodium loading are presented as well as a case report describing the use of salt supplementation over a prolonged course of therapy.
引用
收藏
页码:940 / 946
页数:7
相关论文
共 26 条
[1]  
BENSON JM, 1988, CLIN PHARMACY, V7, P424
[2]   PREVENTION OF AMPHOTERICIN-B INDUCED RENAL IMPAIRMENT - A REVIEW ON THE USE OF SODIUM SUPPLEMENTATION [J].
BRANCH, RA .
ARCHIVES OF INTERNAL MEDICINE, 1988, 148 (11) :2389-2394
[3]   AMPHOTERICIN-B NEPHROTOXICITY IN HUMANS DECREASED BY SODIUM SUPPLEMENTS WITH COADMINISTRATION OF TICARCILLIN OR INTRAVENOUS SALINE [J].
BRANCH, RA ;
JACKSON, EK ;
JACQZ, E ;
STEIN, R ;
RAY, WA ;
OHNHAUS, EE ;
MEUSERS, P ;
HEIDEMANN, H .
KLINISCHE WOCHENSCHRIFT, 1987, 65 (11) :500-506
[4]   POLYENE TOXICITY IN RENAL MEDULLA - INJURY MEDIATED BY TRANSPORT ACTIVITY [J].
BREZIS, M ;
ROSEN, S ;
SILVA, P ;
SPOKES, K ;
EPSTEIN, FH .
SCIENCE, 1984, 224 (4644) :66-68
[5]   NEPHROTOXICITY OF AMPHOTERICIN-B, WITH EMPHASIS ON CHANGES IN TUBULAR FUNCTION [J].
BURGESS, JL ;
BIRCHALL, R .
AMERICAN JOURNAL OF MEDICINE, 1972, 53 (NJUL) :77-+
[6]   NEPHROTOXICITY OF AMPHOTERICIN B - EARLY + LATE EFFECTS IN 81 PATIENTS [J].
BUTLER, WT ;
BENNETT, JE ;
WERTLAKE, PT ;
UTZ, JP ;
ALLING, DW ;
HILL, GJ .
ANNALS OF INTERNAL MEDICINE, 1964, 61 (02) :175-+
[7]   NEPHROTOXIC EFFECTS OF AMPHOTERICIN B INCLUDING RENAL TUBULAR ACIDOSIS [J].
DOUGLAS, JB ;
HEALY, JK .
AMERICAN JOURNAL OF MEDICINE, 1969, 46 (01) :154-&
[8]  
FEELY J, 1981, LANCET, V1, P1422
[9]  
GERKENS JF, 1983, J PHARMACOL EXP THER, V224, P609
[10]  
GERKENS JF, 1980, J PHARMACOL EXP THER, V214, P306