Title |
A missed opportunity – consequences of unknown levetiracepam pharmacokinetics in a peritoneal dialysis patient
|
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Published in |
BMC Nephrology, April 2014
|
DOI | 10.1186/1471-2369-15-49 |
Pubmed ID | |
Authors |
Svenja K Bahte, Marcus Hiss, Ralf Lichtinghagen, Jan T Kielstein |
Abstract |
Levetiracetam is a frequently used drug in the therapy of partial onset, myoclonic and generalized tonic-clonic seizures. The main route of elimination is via the kidneys, which eliminate 66% of the unchanged drug as well as 24% as inactive metabolite that stems from enzymatic hydrolysis. Therefore dose adjustments are needed in patients with chronic kidney disease stage 5 D, i.e. patients undergoing dialysis treatment. In this patient population a dose reduction by 50% is recommended, so that patients receive 250-750 mg every 12 hours. However "dialysis" can be performed in using different modalities and treatment intensities. For most of the drugs pharmacokinetic data and dosing recommendations for patients undergoing peritoneal dialysis are not available. This is the first report on levetiracetam pharmacokinetics in a peritoneal dialysis patient. |
X Demographics
Geographical breakdown
Country | Count | As % |
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United Kingdom | 1 | 50% |
United States | 1 | 50% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 2 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 40 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Researcher | 7 | 18% |
Student > Bachelor | 6 | 15% |
Student > Ph. D. Student | 4 | 10% |
Other | 3 | 8% |
Student > Master | 3 | 8% |
Other | 4 | 10% |
Unknown | 13 | 33% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 16 | 40% |
Pharmacology, Toxicology and Pharmaceutical Science | 4 | 10% |
Nursing and Health Professions | 3 | 8% |
Computer Science | 1 | 3% |
Agricultural and Biological Sciences | 1 | 3% |
Other | 2 | 5% |
Unknown | 13 | 33% |