Nephrotoxic
Nephrotoxicity is a kidney-specific condition where exposure to certain drugs or toxins causes damage to the kidneys. The term is derived from "nephro" (referring to the kidney) and "toxicity" (indicating harmful effects). Nephrotoxicity is often used to describe kidney damage caused by drugs, chemicals, or toxins in the environment.
Causes[edit | edit source]
Nephrotoxicity can be caused by a variety of substances, including certain medications, toxins, and chemicals. Some of the most common causes include:
- Nonsteroidal anti-inflammatory drugs (NSAIDs)
- Aminoglycoside antibiotics
- Radiographic contrast media
- Chemotherapy drugs
- Heavy metals
- Pesticides
- Herbal remedies
Symptoms[edit | edit source]
The symptoms of nephrotoxicity can vary depending on the cause and the severity of the kidney damage. Some common symptoms include:
- Decreased urine output
- Swelling in the legs, ankles, or feet
- Shortness of breath
- Fatigue
- Nausea
- Confusion
- Seizures or coma in severe cases
Diagnosis[edit | edit source]
Diagnosis of nephrotoxicity typically involves a combination of physical examination, medical history, and laboratory tests. These tests may include:
Treatment[edit | edit source]
Treatment for nephrotoxicity depends on the cause and the severity of the kidney damage. The primary goal of treatment is to prevent further damage to the kidneys and to treat any underlying conditions. Treatment options may include:
- Discontinuing or changing the medication or toxin causing the nephrotoxicity
- Medications to control symptoms
- Dialysis in severe cases
- Kidney transplant in extreme cases
Prevention[edit | edit source]
Prevention of nephrotoxicity involves avoiding exposure to known nephrotoxic substances and taking precautions when using certain medications. Regular monitoring of kidney function is also important for individuals at risk of nephrotoxicity.
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Contributors: Prab R. Tumpati, MD