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Related Experiment Videos

Reversible acute decrease in renal function by NSAIDs in cirrhosis.

D C Brater1, S A Anderson, D Brown-Cartwright

  • 1University of Texas Health Science Center at Dallas, Department of Pharmacology.

The American Journal of the Medical Sciences
|September 1, 1987
PubMed
Summary
This summary is machine-generated.

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Nonsteroidal anti-inflammatory drugs (NSAIDs) like sulindac can impair kidney function in patients with severe alcoholic cirrhosis. These drugs, including ibuprofen and naproxen, reduced renal function and prostanoid levels in study participants.

Area of Science:

  • Nephrology
  • Hepatology
  • Pharmacology

Background:

  • Severe alcoholic cirrhosis significantly impacts renal function.
  • Nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly used but can pose renal risks.

Purpose of the Study:

  • To compare the effects of sulindac, ibuprofen, and naproxen on renal function and prostanoids in patients with severe alcoholic cirrhosis.
  • To assess the safety profile of sulindac in this patient population.

Main Methods:

  • Prospective study comparing sulindac, ibuprofen, and naproxen in patients with severe alcoholic cirrhosis.
  • Monitoring of creatinine clearance and urinary prostanoid levels (PGE2, TxB2, 6-keto PGF1 alpha).

Main Results:

  • Sulindac caused acute declines in renal parameters in 4 out of 5 patients, even at therapeutic metabolite concentrations.

Related Experiment Videos

  • The unaffected patient showed minimal prostanoid changes with sulindac but significant declines with ibuprofen.
  • Ibuprofen and naproxen also led to decrements in renal parameters in other patients.
  • Conclusions:

    • Sulindac suppresses renal prostanoids and reduces creatinine clearance in patients with severe alcoholic cirrhosis.
    • NSAIDs, including sulindac, ibuprofen, and naproxen, require cautious use in cirrhotic patients due to potential nephrotoxicity.