| Cyclosporin-A in the treatment of nephrotic syndrome: the importance of monitoring C0 (trough) and C2 (two hours after its administration) blood levels. | |
| | |
MedLine Citation:
|
PMID: 16848751 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Cyclosporin-A (CsA) is often used in the treatment of nephrotic syndrome. The effectiveness of CsA and the value of C2 blood levels in the treatment of nephrotic syndrome, due to various glomerular diseases, were studied. Forty-two nephrotic patients (M/F 21/21), with well-preserved renal function (creatinine clearance 87+/-20 ml/min) were included in the study. The original diagnoses were minimal change disease (MCD), focal segmental glomerulosclerosis (FSGS), membranous nephropathy (MN), IgA nephropathy (IgAN), and lupus nephritis (LN). All patients were treated with prednisolone and CsA for 24 months. Cyclosporin-A C0 and C2 blood levels were determined at regular intervals. Remission of the nephrotic syndrome was observed in all patients with MCD, IgAN and LN, in 75% with FSGS and in 83% with MN. Relapses were observed in some patients with MCD (25%) and MN (36%). The C0 levels were 93+/-15 ng/ml and the corresponding C2 levels were 498+/-110 ng/ml. However, significantly lower (340+/-83 ng/ml) or higher (680+/-127 ng/ml) to the average C2 levels were found in 6 patients (14%). No relation of C0 and C2 levels with the remission and relapse rate of the nephrotic syndrome and with renal function impairment was observed. Small doses of CsA with prednisolone are effective in the treatment of nephrotic syndrome. Although an individual variation of C2 was observed for the same target C0 levels, no relation of C2 levels was found with the remission or relapse rate of the nephrotic syndrome. |
| | |
Authors:
|
D S Goumenos; Pantelitsa Kalliakmani; Sotiris Tsakas; Irene Savidaki; John G Vlachojannis |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Medicinal chemistry (Shāriqah (United Arab Emirates)) Volume: 2 ISSN: 1573-4064 ISO Abbreviation: - Publication Date: 2006 Jul |
Date Detail:
|
Created Date: 2006-07-19 Completed Date: 2006-08-16 Revised Date: 2008-02-26 |
Medline Journal Info:
|
Nlm Unique ID: 101240303 Medline TA: Med Chem Country: Netherlands |
Other Details:
|
Languages: eng Pagination: 391-3 Citation Subset: IM |
Affiliation:
|
Department of Internal Medicine-Nephrology, University Hospital of Patras, 26500 Patras, Greece. dgoumenos@med.upatras.gr |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Cyclosporine*
/
administration & dosage,
blood,
therapeutic use Female Humans Immunosuppressive Agents* / administration & dosage, blood, therapeutic use Male Metabolic Detoxication, Drug Middle Aged Monitoring, Physiologic Nephrotic Syndrome / blood, drug therapy* Recurrence Remission Induction |
| Chemical | |
Reg. No./Substance:
|
0/Immunosuppressive Agents; 59865-13-3/Cyclosporine |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Physico-chemical profiling of antidepressive sertraline: solubility, ionisation, lipophilicity.
Next Document: A novel family of minimal PMRI cyclic peptides as versatile scaffolds for generating new molecular t...