Drug therapy in continuous ambulatory peritoneal dialysis patients

R. Janknegt, J. H. Koelman

Research output: Contribution to journalArticleProfessional

6 Citations (Scopus)

Abstract

Transport of solutes across the peritoneal membrane in continuous ambulatory peritoneal dialysis (CAPD) is determined by patient-related factors (concentration gradient, membrane surface area, blood flow and membrane permeability) and by drug-related factors (charge on the molecule, protein binding, molecular weight, lipophilicity). On the basis of the chemical properties of a drug a prediction of the peritoneal clearance rate in CAPD patients is given, by the formula CLCAPD = 75 square root free fraction/molecular weight. The implications of this formula are discussed. It is concluded that usually it is not necessary to change the dose as compared with end-stage renal disease patients who are not treated with CAPD
Original languageDutch
Pages (from-to)104-109
JournalPharmaceutisch weekblad. Scientific edition
Volume9
Issue number2
DOIs
Publication statusPublished - 1987

Cite this