N-Acetylcysteine Effect on Serum Creatinine and Cystatin C Levels in CKD Patients
Author(s) -
Tariq Rehman,
Jason Fought,
Richard Solomon
Publication year - 2008
Publication title -
clinical journal of the american society of nephrology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.755
H-Index - 151
eISSN - 1555-905X
pISSN - 1555-9041
DOI - 10.2215/cjn.01560408
Subject(s) - medicine , creatinine , cystatin c , renal function , acetylcysteine , kidney disease , contrast induced nephropathy , nephropathy , urology , confounding , population , gastroenterology , acute kidney injury , endocrinology , diabetes mellitus , biochemistry , chemistry , environmental health , antioxidant
N-acetylcysteine (NAC) has been widely used as a prophylactic therapy for contrast-induced nephropathy (CIN). Its efficacy is controversial because of heterogeneity in study results and because of evidence that NAC can alter serum creatinine levels without affecting glomerular filtration rate. This confounding effect of N-acetylcysteine on serum creatinine has not been rigorously tested, however, in a population at risk for CIN and following doses of NAC currently recommended for prophylaxis of CIN.
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