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NDT Advance Access originally published online on August 2, 2005
Nephrology Dialysis Transplantation 2005 20(11):2315-2317; doi:10.1093/ndt/gfi046
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© The Author [2005]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org


Editorial Comment

The predictable effect that renal failure has on H2 receptor antagonists—increasing the half-life along with increasing prescribing errors

Neil Boudville

Sir Charles Gairdner Hospital, School of Medicine and Pharmacology, University of Western Australia, Australia

Correspondence and offprint requests to: Dr Neil Boudville, University of Western Australia, Sir Charles Gairdner Hospital, School of Medicine and Pharmacology, 4th Floor G Block, Verdun Street Nedlands, WA Australia 6009. Email: nboudvil@cyllene.uwa.edu.au

Keywords: histamine H2 antagonists; kidney failure; kidney failure, acute; kidney failure, chronic; medication errors; pharmocokinetics

The first 10% of the full text of this article appears below.



   Introduction
 
In this edition of NDT, Manlucu et al. [1] present results from a systematic review they performed on dose reducing of histamine 2 receptor antagonists (H2RA) in the presence of renal failure. Fundamentally, they demonstrate that H2RA should be given in lower doses as renal function deteriorates. These results in themselves are not surprising as H2RA are primarily excreted in the urine unchanged, and there is substantial evidence that clearance is reduced with renal failure [2–4]. The more surprising result is that these authors managed to identify 16 published clinical . . . [Full Text of this Article]



   Methods to overcome preventable adverse drug events
 

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