Pharmacological Treatment Options for Coronavirus Disease-19 in Renal Patients

Patients with chronic kidney disease (CKD), including dialysis and transplant patients, are at greater risk of contracting SARS-CoV-2 due to kidney dysfunction and preexisting comorbidities. To date, a specific guideline on managing these high-risk patients infected with COVID-19 has not been establ...

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Main Authors: null Jonny, Laurencia Violetta, Arief Sjamsulaksan Kartasasmita, Rully Marsis Amirullah Roesli, Coriejati Rita
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:International Journal of Nephrology
Online Access:http://dx.doi.org/10.1155/2021/4078713
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author null Jonny
Laurencia Violetta
Arief Sjamsulaksan Kartasasmita
Rully Marsis Amirullah Roesli
Coriejati Rita
author_facet null Jonny
Laurencia Violetta
Arief Sjamsulaksan Kartasasmita
Rully Marsis Amirullah Roesli
Coriejati Rita
author_sort null Jonny
collection DOAJ
description Patients with chronic kidney disease (CKD), including dialysis and transplant patients, are at greater risk of contracting SARS-CoV-2 due to kidney dysfunction and preexisting comorbidities. To date, a specific guideline on managing these high-risk patients infected with COVID-19 has not been established. As the current management of COVID-19 comprises mainly experimental drugs, the authors aim to provide information on dosing adjustments at different stages of kidney dysfunction and notable renal side effects. We performed a nonsystematical review of currently available COVID-19 drugs exploring several different clinical trial databases and search browsers. Several antivirals and monoclonal antibodies used in COVID-19 treatment require dosage adjustments in kidney dysfunction. In a global pandemic setting, nephrologists need to consider the appropriate dosage according to the renal function and closely monitor the side effects of different drug combinations to obtain the optimum therapeutic effect while avoiding further renal damage. Further studies are required to determine the safety and efficacy of these drugs in renal patients.
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series International Journal of Nephrology
spelling doaj-art-b5b4880ba8334a7dbfb14d37dfb467cb2025-08-20T03:20:55ZengWileyInternational Journal of Nephrology2090-21582021-01-01202110.1155/2021/4078713Pharmacological Treatment Options for Coronavirus Disease-19 in Renal Patientsnull Jonny0Laurencia Violetta1Arief Sjamsulaksan Kartasasmita2Rully Marsis Amirullah Roesli3Coriejati Rita4Nephrology DivisionNephrology DivisionFaculty of MedicineFaculty of MedicineFaculty of MedicinePatients with chronic kidney disease (CKD), including dialysis and transplant patients, are at greater risk of contracting SARS-CoV-2 due to kidney dysfunction and preexisting comorbidities. To date, a specific guideline on managing these high-risk patients infected with COVID-19 has not been established. As the current management of COVID-19 comprises mainly experimental drugs, the authors aim to provide information on dosing adjustments at different stages of kidney dysfunction and notable renal side effects. We performed a nonsystematical review of currently available COVID-19 drugs exploring several different clinical trial databases and search browsers. Several antivirals and monoclonal antibodies used in COVID-19 treatment require dosage adjustments in kidney dysfunction. In a global pandemic setting, nephrologists need to consider the appropriate dosage according to the renal function and closely monitor the side effects of different drug combinations to obtain the optimum therapeutic effect while avoiding further renal damage. Further studies are required to determine the safety and efficacy of these drugs in renal patients.http://dx.doi.org/10.1155/2021/4078713
spellingShingle null Jonny
Laurencia Violetta
Arief Sjamsulaksan Kartasasmita
Rully Marsis Amirullah Roesli
Coriejati Rita
Pharmacological Treatment Options for Coronavirus Disease-19 in Renal Patients
International Journal of Nephrology
title Pharmacological Treatment Options for Coronavirus Disease-19 in Renal Patients
title_full Pharmacological Treatment Options for Coronavirus Disease-19 in Renal Patients
title_fullStr Pharmacological Treatment Options for Coronavirus Disease-19 in Renal Patients
title_full_unstemmed Pharmacological Treatment Options for Coronavirus Disease-19 in Renal Patients
title_short Pharmacological Treatment Options for Coronavirus Disease-19 in Renal Patients
title_sort pharmacological treatment options for coronavirus disease 19 in renal patients
url http://dx.doi.org/10.1155/2021/4078713
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