Challenges in developing evidence-based drug dosing guidelines for adults and children receiving renal replacement therapy.
The challenges of appropriate drug dosing in patients with renal failure requiring renal replacement therapy (RRT) have been exacerbated by recent trends in both RRT technology and practices. Nearly all these changes have resulted in augmented drug clearance, making most existing RRT drug dosing recommendations obsolete. Many barriers exist to conducting research to update our knowledge of appropriate drug dosing in the context of contemporary RRT. Recommendations on how this research could be conducted, including the use of in vitro techniques, are offered here.
Mueller
B A
BA
Department of Clinical, Social, and Administrative Sciences, College of Pharmacy, University of Michigan, Ann Arbor, Michigan, USA.
Smoyer
W E
WE
D058186:Acute Kidney Injury / Q000628:therapy*; D000328:Adult; D002648:Child; D004305:Dose-Response Relationship, Drug; D019317:Evidence-Based Medicine; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D004364:Pharmaceutical Preparations / Q000008:administration & dosage*; D017410:Practice Guidelines as Topic; D017582:Renal Replacement Therapy / Q000379:methods*; D012107:Research Design
D004364:Pharmaceutical Preparations