Drug Removal by Plasmapheresis: An Evidence‐Based Review

Pharmacotherapy - Tập 27 Số 11 - Trang 1529-1549 - 2007
R. Ibrahim1,2, Chin Liu1,2, Simon Cronin1,2, Bridgette C. Murphy3, Raymond Cha2, Paul Swerdlow4,5, David J. Edwards2
1Departments of Pharmacy, Karmanos Cancer Institute, Detroit, Michigan
2Eugene Applebaum College of Pharmacy and Allied Health Professions, Wayne State University, Detroit, Michigan
3Department of Pharmacy, Borgess Medical Center, Kalamazoo, Michigan
4Department of Internal Medicine, Wayne State University, Detroit, Michigan
5Internal Medicine, Karmanos Cancer Institute, Detroit, Michigan

Tóm tắt

Contrary to the literature about drug removal during hemodialysis, data regarding drug removal during plasmapheresis are sparse. Over the last 40 years, approximately 70 publications—mostly case reports of overdoses—have described the effects of plasmapheresis on pharmaceutical agents. Important issues are drug extraction during plasma exchange with chemotherapy, as well as drug classes such as antiinfectives, anticoagulants, antiepileptics, cardiovascular agents, and immunosuppressants. Other considerations are the merits and pitfalls of the different methods used in published reports and recommendations for future pharmacokinetic studies in this field.

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