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DRUGS
EFFECTS
ON
KIDNEY
Ph.Ijaz Hussain
Medication safety Incharge
DRUG INDUCED
NEPHROTOXICITY
Drugs are a common source of
acute kidney injury.
They cause approximately 20
percent of community and hospital
acquired episodes of acute renal
failure
MECHANISMS OF DRUGS
INDUCED INJURIES
These include altered intraglomerular
hemodynamics, tubular cell toxicity,
inflammation, crystal nephropathy,
rhabdomyolysis, and thrombotic
microangiopathy
Nonsteroidal anti-
inflammatory drugs
Acute interstitial nephritis, altered
intraglomerular hemodynamics and
glomerulonephritis
ANTIDEPRESSANTS
AND MOOD
STABILIZERS
Rhabdomyolysis, a clinical syndrome
caused by damage to skeletal
muscle and release of its breakdown
products into the circulation, can be
followed by acute kidney injury
ACYCLOVIR (ZOVIRAX)
Crystal nephropathy The intrinsic
nature of some molecules and ions
combined with a favorable tubular
fluid physiology leads to crystal
precipitation and deposition within
the tubular lumens.
AMINOGLYCOSIDES
Tubular cell toxicity is damage to the
tubule cells of the kidneys, which
can lead to acute kidney failure. The
tubules are tiny ducts in the kidneys
that help filter the blood when it
passes through the kidneys.
CLOPIDOGREL
(PLAVIX)
It cause Thrombotic
microangiopathies (TMA) that are
defined by the presence of
hemolytic anemia (destruction of
red blood cells), low platelets, and
organ damage due to the formation
of microscopic blood clots in
capillaries and small arteries.
REFRENCES
• https://www.aafp.org
• https://www.micromedexsolutions.com
• https://www.medscape.com
?
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DRUGS EFFECTS ON KIDNEY.pptx