Drug Treatment of Chronic Kidney Disease in Dental Office

  • YAMADA Shoji
    Department of Pharmacology, Showa University School of Dentistry

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Other Title
  • 慢性腎臓病 (CKD) 患者への歯科薬物療法—薬物動態学的考察—
  • 慢性腎臓病(CKD)患者への歯科薬物療法 : 薬物動態学的考察
  • マンセイ ジンゾウビョウ(CKD)カンジャ エ ノ シカ ヤクブツ リョウホウ : ヤクブツ ドウタイガクテキ コウサツ

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Abstract

Chronic kidney disease (CKD) is one of the wide prevalent disease, and it is not negligible that a dentist have a chance to prescribe an antibiotics for a CKD patient with a low kidney function. Beta-lactam antibiotics, such as penicillin antibiotics or cephem antibiotics, are most frequently prescribed drugs in dental office. Most dentists will be careful about allergic adverse effects of beta-lactam antibiotics, but only a few dentists will recognize that beta-lactam antibiotics are excrete mainly from kidney, and that these drugs are recommended to adjust the dosing schedule for the patient with a low kidney function. If you administer a renally-eliminated drug repeatedly for the CKD patient with an elongated half-life, the mean plasma drug concentration in stable phase will increase to toxic concentration. Pharmacokinetically-guided correction coefficient will be helpful to get an adequate dosing schedule for the patient with a low kidney function. The reference chart of recommended dosing schedule for the CKD patients will also be helpful.

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