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Drug Dosing in Renal Insufficiency - Philippine College of Physicians

Drug Dosing in Renal Insufficiency - Philippine College of Physicians

Drug Dosing in Renal Insufficiency - Philippine College of Physicians

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Bioavailability <strong>in</strong> <strong>Renal</strong> <strong>Insufficiency</strong><br />

• Decreased drug absorption<br />

Nausea and vomit<strong>in</strong>g<br />

Alkal<strong>in</strong>iz<strong>in</strong>g effect <strong>of</strong> salivary urea<br />

Use <strong>of</strong> PPIs and H 2 -receptor blockers<br />

Use <strong>of</strong> phosphate b<strong>in</strong>ders<br />

Gut edema<br />

Bacterial colonization<br />

Altered <strong>in</strong>test<strong>in</strong>al motility<br />

• Altered hepatic first-pass metabolism

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