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Incidence, predictors and associated outcomes of rhabdomyolysis after kidney transplantation
Author(s) -
Frank P. Hurst,
Robert Neff,
Rahul M. Jindal,
Jason A. Roberts,
Krista L. Lentine,
L Y Agodoa,
Kevin C. Abbott
Publication year - 2009
Publication title -
nephrology dialysis transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.654
H-Index - 168
eISSN - 1460-2385
pISSN - 0931-0509
DOI - 10.1093/ndt/gfp416
Subject(s) - medicine , rhabdomyolysis , tacrolimus , incidence (geometry) , proportional hazards model , transplantation , kidney transplantation , calcineurin , cohort , immunosuppression , statin , gastroenterology , retrospective cohort study , hazard ratio , urology , confidence interval , physics , optics
There are several case reports of rhabdomyolysis (RM) in renal transplant recipients, but the actual incidence of this complication is not known. Most of the reported cases have been attributed to drug-drug interactions with calcineurin inhibitors, with the majority of interactions reported between cyclosporine and 3-hydroxy-3-methylglutaryl-coenzyme A reductase inhibitors (statins). Pharmacokinetic studies have demonstrated that cyclosporine increases statin drug levels, presumably via competitive inhibition of cytochrome P450 3A4.

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