Geriatric PK/PD: Elimination Flashcards
Renal changes with again
Decreased volume and weight
Decreased renal blood flow
Glomerular function
Decreased tubular function
What formula do you use to calculate CrCl?
Cockcroft-Gault
Renal drug clearance: tubular function
organic base transport doesn’t appear to be altered, organic acid transport appears to decline with age
Drugs with a significant renal component to elimination
hydrophilic beta-blockers
ACEIs
Vanco
Gabapentin
AGs
Drugs with pharmacologically active metabolites
amoxapine, desipramine, metoprolol, risperidone
Active metabolites with detrimental effects
norpropoxyphene (D/C’ed, off market), hydroxyaminodapsone, normeperidine
Drug that shunts CL from renal to metabolic pathways
Theophylline