Simulation-Based Sodium Thiosulfate Dosing Strategies for the Treatment of Calciphylaxis
Author(s) -
Rajendra Singh,
Hartmut Derendorf,
Edward A. Ross
Publication year - 2011
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.09671010
Subject(s) - calciphylaxis , dosing , medicine , hemodialysis , sodium thiosulfate , dialysis , pharmacokinetics , renal function , urology , nomogram , medical prescription , pharmacology , inorganic chemistry , chemistry , calcification
Calciphylaxis remains a poorly understood life-threatening disorder with limited therapeutic options. Sodium thiosulfate (STS) has reported efficacy, thought to be because solubilizing calcium deposits promote clearance by hemodialysis (HD). Lack of rigorous pharmacokinetic studies makes it problematic for determining proper STS dosing given the expanding range of dialysis prescriptions and intensities.
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