Fenoldopam Mesylate: A Narrative Review of Its Use in Acute Kidney Injury.
DA-1 receptor
Fenoldopam mesylate
Intensive care unit-acute
kidney injury
chronic kidney disease
contrast-induced nephropathy
dopamine
post-operative acute kidney injury.
Journal
Current pharmaceutical biotechnology
ISSN: 1873-4316
Titre abrégé: Curr Pharm Biotechnol
Pays: Netherlands
ID NLM: 100960530
Informations de publication
Date de publication:
2019
2019
Historique:
received:
09
11
2018
revised:
04
01
2019
accepted:
08
04
2019
pubmed:
1
5
2019
medline:
8
10
2019
entrez:
1
5
2019
Statut:
ppublish
Résumé
Fenoldopam mesylate is a selective agonist of DA-1 receptors. It is currently used for the in-hospital treatment of severe hypertension. DA-1 receptors have high density in renal parenchyma and for this reason, a possible reno-protective role of Fenoldopam mesylate was investigated. We examined all studies regarding the role of Fenoldopam mesylate in Acute Kidney Injury (AKI); particularly, those involving post-surgical patients, intensive care unit patients and contrastinduced nephropathy. Fenoldopam mesylate was found to be effective in reducing the onset of postoperative AKI, when used before the development of the kidney damage. Positive results were also obtained in the management of intensive care unit patients with AKI, although the clinical studies investigated were few and conducted on small samples. Conflicting results were achieved in contrast-induced nephropathy.
Sections du résumé
BACKGROUND
BACKGROUND
Fenoldopam mesylate is a selective agonist of DA-1 receptors. It is currently used for the in-hospital treatment of severe hypertension. DA-1 receptors have high density in renal parenchyma and for this reason, a possible reno-protective role of Fenoldopam mesylate was investigated.
METHODS
METHODS
We examined all studies regarding the role of Fenoldopam mesylate in Acute Kidney Injury (AKI); particularly, those involving post-surgical patients, intensive care unit patients and contrastinduced nephropathy.
RESULTS
RESULTS
Fenoldopam mesylate was found to be effective in reducing the onset of postoperative AKI, when used before the development of the kidney damage. Positive results were also obtained in the management of intensive care unit patients with AKI, although the clinical studies investigated were few and conducted on small samples.
CONCLUSION
CONCLUSIONS
Conflicting results were achieved in contrast-induced nephropathy.
Identifiants
pubmed: 31038062
pii: CPB-EPUB-98135
doi: 10.2174/1389201020666190417124711
pmc: PMC6751352
doi:
Substances chimiques
DRD1 protein, human
0
Dopamine Agonists
0
Receptors, Dopamine D1
0
Fenoldopam
INU8H2KAWG
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
366-375Informations de copyright
Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.net.
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