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Acute Kidney Injury

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Pharmacological Interventions in <strong>Acute</strong> <strong>Kidney</strong> <strong>Injury</strong><br />

Drug<br />

Biological<br />

rationale<br />

Animal<br />

experiments<br />

Uncontrolled<br />

human data<br />

Small<br />

RCT<br />

Large<br />

RCT<br />

Loop diuretics Present Favorable Favorable Negative N/A<br />

Low-dose dopamine Present Favorable Favorable Variable Negative<br />

Mannitol Present Favorable Favorable N/A N/A<br />

The only FDA<br />

Ca antagonist Present Favorable Favorable Variable N/A<br />

Theophylline Present Favorable Favorable Positive N/A<br />

approved treatment for<br />

Prostaglandins Present Favorable Favorable N/A N/A<br />

established AKI<br />

Natriuretic peptide Present Favorable Favorable Negative N/A<br />

α-receptor antagonist Present N/A N/A Positive N/A<br />

is dialysis<br />

Endothelin antagonist Present Favorable N/A N/A N/A<br />

Thromboxane antagonist Present Favorable N/A N/A N/A<br />

Thyroxine Present Favorable N/A Negative N/A<br />

Saline Present Favorable Favorable Positive N/A<br />

NAC Present Favorable N/A Positive N/A<br />

Non-ionic media Present Favorable Favorable Positive positive<br />

C. Ronco and R.Bellomo Nephron Clinical Practice 93:C13, 2003

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