Drug Dosage in Renal Insufficiency

Drug dosage in renal insufficiency has become an toxication. In 1975, his Poison Index was pub- important facet of nephrology, a subspeciality of lished, first in German, and two years later in internal medicine which is only 30 years young but English, with supplements in 1979 and 1983. This constantly growing in scope and importance. Two- volume has become an obligatory reference in more thirds of all drugs are partially, mainly, or exclu- than 2500 dialysis units. sively excreted by the kidneys. In the presence of Based on GOnter Seyffarts experience and renal insufficiency, dose adjustments are therefore knowledge in this field, the plans for this book obligatory. In patients on dialysis, drug elimination matured in 1984, a logical step in view of his by this route must also be considered. untiring effort and diligence. In order to deal with As the reader of this book will discover, 20 more than 1200 different drugs and almost 4000 percent of currently used drugs are contraindicated references, 21 contributors were sollicited, while it where there is any degree of renal insufficiency, took six years to complete the work. The major and for at least another 60 percent a dose reduc- share of the effort was thus left to the main author tion is required. It is obvious, therefore, that the and editor and he has produced a concise work of detailed knowledge required can never be com- impressive clarity.