Federal government websites often end in .gov or .mil. 1996. Transplantation. These databases were linked in an anonymous fashion using encrypted health card numbers and have previously been used to study population-based health outcomes.8,9,13,14. Kidney Int. N Engl J Med. GMA comparison of the ability of different propensity score models to balance measured variables between treated and untreated subjects: a Monte Carlo study. , It is seen in patients with heart failure, cirrhosis, and stroke, and is an independent risk factor for mortality in these cases. After one dose of TMP, plasma electrolytes, arterial pH and aldosterone levels were normal, but a natriuresis, bicarbonaturia, and . Hoorn EJ, Walsh SB, McCormick JA, et al. The objective of this study was to characterize the risk of hyperkalemia-associated hospitalization in elderly patients who were being treated with trimethoprim-sulfamethoxazole along with either an ACEI or an ARB. Bugge Disclaimer. Rev Endocr Metab Disord 22, 11571170 (2021). 2020;97(1):4261. et al. Pneumocystis pneumonia in solid organ transplantation. This is a preview of subscription content, access via JRHyperkalemia in elderly patients receiving standard doses of trimethoprim-sulfamethoxazole. 1993. https://doi.org/10.7326/0003-4819-119-4-199308150-00007. J Physiol. Pei Y, Richardson R, Greenwood C, Wong PY, Baines A. Extrarenal Effect of Cyclosporine A on Potassium Homeostasis in Renal Transplant Recipients. in human immunodeficiency virus-negative immunocompromised patients. Pluznick JL, Sansom SC. Privacy Policy| PubMed Central https://doi.org/10.1152/ajprenal.1998.274.6.F1109. Results: Most of antimicrobials, especially vancomycin or aminoglycosides, are associated with acute renal failure caused by acute tubular necrosis, allergic interstitial nephritis, or rarely vasculitis. Batch CBD Full-Spectrum Gummies. Perazella MA, Mahnensmith RL. Arch Intern Med. It was originally extracted from Streptomyces nodosus, a filamentous bacterium in 1955. BMJ Case Rep. 2021 Mar 4;14(3):e239543. Management of hyperkalaemia often mandates discontinuation of the drug, volume repletion with isotonic fluids, and other therapies specific to hyperkalaemia. -. 2017. https://doi.org/10.1111/tid.12769. Besides, some antimicrobial agents can cause serious fluid and electrolyte imbalance. Epub 2021 Jul 22. Analysis and interpretation of data: Antoniou, Gomes, Juurlink, Loutfy, Glazier, and Mamdani. doi: 10.1136/bcr-2020-239543. Palmer They bind to the bacterial 30S ribosomal subunit, which translocates the peptidyl-tRNA from the A-site to the P-site and then inhibits the processing. sharing sensitive information, make sure youre on a federal Am J Nephrol 1999; 19 (3): 38994, Funai N, Shimamoto Y,MatsuzakiM, et al. Renal mechanism of trimethoprim-induced hyperkalemia. Trimethoprim (an organic cation) acts like amiloride and blocks apical membrane sodium channels in the mammalian distal nephron. Sebastian A, Schambelan M, Sutton JM. Ann Intern Med 1996; 124: 792802, Perazella MA. Cotrimoxazole (trimethoprim-sulfamethoxazole) is a combination antimicrobial that is frequently used to treat a wide variety of infections. Google Scholar, ECC Committee, Subcommittees and Task Forces of the American Heart Association. 1989. https://doi.org/10.1097/00007890-198903000-00032. An official website of the United States government. 1999. https://doi.org/10.1161/01.HYP.33.3.862. 2022 Aug 25;9:968184. doi: 10.3389/fcvm.2022.968184. Only recently has hyperkalaemia been recognised as a relatively common complication of therapy with trimethoprim. Hyperkalemia is a common and potentially life-threatening complication following kidney transplantation that can be caused by a composite of factors such as medications, delayed graft function, and possibly potassium intake. CAS Al AdAwi RM, Albu-Mahmood Z, Abdelgelil M, Abdelaziz H, Stewart D, Awaisu A. Hultin S, M. Hawley C, W. Johnson D, S. Francis R. Perioperative Care for Kidney Transplant Recipients. AmB therapy can commonly cause hypokalemia and hypomagnesemia. Taber DJ, Srinivas TM, Pilch NA, et al. Abbreviations: ACEIs, angiotensin-converting enzyme inhibitors; ARBs, angiotensin receptor blockers; ENaC, epithelial sodium channel; ROMK, renal outer medullary potassium channel; NCC, sodium chloride cotransporter; MR, mineralocorticoid receptor. Sellin JH, De Soignie R. Ion transport in human colon in vitro. Adefovir has also been reported to cause proximal tubular dysfunction16). 1995 Jan 15;122(2):103-6. doi: 10.7326/0003-4819-122-2-199501150-00004. Plotkin JS, Buell JF, Njoku MJ, et al. volume22,pages 11571170 (2021)Cite this article. 2006;291(3):F51729. 2002;92(3):57681. Mark A. Perazella. 2019. Increased risk for hyperkalaemia with trimethoprim treatment appears to be related to both higher dosages and underlying renal impairment. 2011. https://doi.org/10.1038/nm.2497. official website and that any information you provide is encrypted 2020 Nov;61(11):2622-2629. doi: 10.1080/10428194.2020.1786561. Utility of inhaled pentamidine prophylaxis in lung transplant recipients. NEHarrington 2) To test the hypothesis that trimethoprim inhibits renal potassium excretion by blocking. McCauley J, Murray J, Jordan M, Scantlebury V, Vivas C, Shapiro R. Labetalol-induced hyperkalemia in renal transplant recipients. Administrative, technical, and material support: Antoniou and Mamdani. DHRenal mechanism of trimethoprim-induced hyperkalemia. MHBiased selection of controls for case-control analyses of cohort studies. Am Fam Physician. Nephrotoxicity and hyperkalemia in patients with acquired immunodeficiency syndrome treated with pentamidine. In this population-based study spanning 14 years, we found that the use of trimethoprim-sulfamethoxazole was strongly associated with hyperkalemia-related hospitalization among elderly patients who were treated with either an ACEI or an ARB. MATrimethoprim-sulfamethoxazole therapy in outpatients: is hyperkalemia a significant problem? CAS From within the cohort of patients receiving an ACEI or an ARB, we selected up to 4 controls for each case using incidence density sampling.15 Control patients were required to not have been hospitalized for hyperkalemia before the index date and also to have received 1 of the study antibiotics within 14 days preceding the index date. Ambulatory blood pressure, left ventricular hypertrophy, and allograft function in children and young adults after kidney transplantation. Deerfield, IL: Astellas Pharma US; 2009. https://www.accessdata.fda.gov/drugsatfda_docs/label/2009/050708s027,050709s021lbl.pdf (Accessed 10 Jul 2019). Although adverse effects of antimicrobials are generally minimal and reversible, serious sequelae can sometimes remain, such as unusual forms of renal failure, acid base disturbance and electrolyte abnormalities. Comparison of oral agents for the treatment of Pneumocystis carinii pneumonia [letter]. Trimethoprim-sulfamethoxazole (TMP/SMX) represents a well-recognized pharmacologic precipitant of drug-induced hyponatremia, with several reports extant in the retrievable literature. Potassium homeostasis and management of dyskalemia in kidney diseases: conclusions from a Kidney Disease: Improving Global Outcomes (KDIGO) Controversies Conference. Bactrim contains a combination of sulfamethoxazole and trimethoprim. An alternative mechanism may be that the body distribution of magnesium is altered as a consequence of the cell membrane effects of AmB4). Our findings suggest that for patients receiving an ACEI or an ARB and for whom therapy with antibiotics is required, avoidance of trimethoprim-sulfamethoxazole therapy may be prudent when other options exist. When hyperkalemia develops following transplantation, the potential offending medication may be discontinued, switched to another agent, or dose-reduced. Rev Infect Dis 1982; 4: 42933, Richmond JM, Whitworth JA, FairleyKF, et al. Transplantation. It inhibits the action of prokaryotic 30S ribosome by binding aminoacyl-tRNA. Hospitalization data and demographic information were obtained from the Canadian Institute for Health Information Discharge Database and the Registered Persons Database, respectively. Trimethoprim was found to act like the potassium-sparing diuretic amiloride and reduce renal potassium excretion. Patiromer and sodium zirconium cyclosilicate (ZS-9) may play an important role in the management of chronic hyperkalemia in kidney transplant patients, although additional long-term studies are necessary to confirm these effects. 2011. https://doi.org/10.1111/j.1399-3062.2011.00691.x. 2018. https://doi.org/10.1111/tid.12968. Case Rep Endocrinol. Vittecoq D, Dumitrescu L, Beaufils H, Deray G. Fanconi syndrome associated with cidofovir therapy. Am J Kidney Dis. Kidney Int 1996; 49: 13728, Perazella MA, Mahnensmith RL. Trimethoprim (1 mmol/L) in tubule fluid inhibited distal tubule potassium secretion by 59% (Cl, 26% to 92%) and depolarized the lumen-negative transepithelial voltage by 66% (Cl, 46% to 85%). - 103.57.189.154. Bethesda, MD 20894, Web Policies DNMamdani et al. Schnelle K, Winters H, Pesavento T, Singh P. Largest Experience of Safety and Efficacy of Patiromer in Solid Organ Transplant. Dapsone-induced methemoglobinemia in renal transplant recipients: More prevalent than previously thought. Studies on the mechanism of trimethoprim-induced hyperkalemia. Case patients were those with a hyperkalemia-associated hospitalization within 14 days of receiving a prescription for trimethoprim-sulfamethoxazole, amoxicillin, ciprofloxacin, norfloxacin, or nitrofurantoin. Aminoglycosides are primarily useful in infections involving aerobic, gram-negative bacteria; such as Pseudomonas, Acinetobacter, and Enterobacter. Pneumocystis jiroveci in solid organ transplantation: Guidelines from the American Society of Transplantation Infectious Diseases Community of Practice. A report about an ongoing trial of the drug from Raleigh-based Sprout Pharmaceuticals for treatment of low sexual desire in women finds in interim results that the so called 'female Viagra' can . Case Report A 53-year-old man was admitted to the Veterans Affairs Medical Center with a productive cough and dyspnea. https://doi.org/10.5049/EBP.2007.5.2.111. AIN, acute interstitial nephritis; ARF, acute renal failure; RTA, renal tubular acidosis. Mepron [package insert]. ENaC Hyperkalemia Hyponatremia Trimethoprim Hyponatremia is the most common electrolyte abnormality, present in 1.72% of the general population and occurring in up to 10% of hospitalized patients. 1993;119(4):296-301. doi pubmed; Mori H, Kuroda Y, Imamura S, Toyoda A, Yoshida I, Kawakami M, Tabei K. Hyponatremia and/or hyperkalemia in patients treated with the standard dose of trimethoprim-sulfamethoxazole. government site. Am J Kidney Dis. OPTN/SRTR 2019 Annual Data Report: Kidney. 8600 Rockville Pike Mt Sinai J Med 1983; 50: 2389, Kalin MF, Poretsky L, Seres DS, et al. Appel dapsone, atovaquone) have been studied and can be recommend in place of TMP/SMX. Accepted for Publication: December 10, 2009. Liver Transplant. Among older patients treated with ACEIs or ARBs, the use of trimethoprim-sulfamethoxazole is associated with a major increase in the risk of hyperkalemia-associated hospitalization relative to other antibiotics. 2021;30(1):2737. Google Scholar, Choi MJ, Fernandez PC, Coupaye-Gerard B, et al. Results Circulation. Trimethoprim-induced hyperkalemia: an analysis of reported cases. Ann Intern Med. Methods Before Austin An official website of the United States government. Rizk JG, Kalantar-Zadeh K, Mehra MR, Lavie CJ, Rizk Y, Forthal DN. 2020 Oct 19;2020:8897112. doi: 10.1155/2020/8897112. Rashid A, Hamilton SR. Necrosis of the gastrointestinal tract in uremic patients as a result of sodium polystyrene sulfonate (Kayexalate) in sorbitol: an underrecognized condition. A comparison of tacrolimus (FK506) and cyclosporine for immunosuppression after cadaveric renal transplantation. N Engl JMed 1990; 323: 77682, CAS Research Triangle Park, NC: GlaxoSmithKline; 2019. https://www.accessdata.fda.gov/drugsatfda_docs/label/2019/020500s017lbl.pdf (Accessed 5 Jun 2020). DADrug-drug interactions among elderly patients hospitalized for drug toxicity. Cotrimoxazole-induced hyperkalemia in renal transplant patient-Case report. The frequency of hyperkalemia and its significance in chronic kidney disease. The Canadian Institute for Health Information Discharge Database contains demographic and clinical information regarding all hospital admissions, discharges, and same-day surgical procedures from participating hospitals in Canada. AIDSinfo. For each case, we identified up to 4 control patients from the same cohort matched for age, sex, and presence or absence of chronic renal disease and diabetes. . 1996 Dec;50(6):2063-9 https://doi.org/10.1016/j.pcad.2020.02.002. 2000. https://doi.org/10.1016/S0140-6736(00)02480-6. Ann Intern Med. Objectives: Trimethoprim use for urinary tract infection and risk of adverse outcomes in older patients: cohort study. A For each analysis, conditional logistic regression was used to estimate the odds ratio and the 95% confidence interval for the association between hyperkalemia-related hospitalization and recent antibiotic use. Goto N, Oka S. Pneumocystis jirovecii pneumonia in kidney transplantation. Type IV RTA in Chronic Adrenal Insufficiency and Concomitant Lisinopril Treatment. Interestingly, gentamicin administered at standard clinical doses causes immediate and transient renal calcium and magnesium wasting in normal humans3). 1992. https://doi.org/10.1097/00007890-199210000-00010. Distal tubular damage with RTA has been seen with foscarnet18). Hyperchloremic non-anion gap metabolic acidosis was also reported in an AIDS patient treated for Pneumocystis carnii pneumonia with high-dose intravenous TMP/SMX (TMP 20 mg/kg/day)9). Belatacept Evaluation of Nephroprotection and Efficacy as First-line Immunosuppression (BENEFIT) (BENEFIT). GSilva [ 1, 2] Bacterial cell growth is prevented by this drug through the interruption of tetrahydrofolic acid production by the inhibition of the enzyme dihydrofolate reductase in infecting organ. Antibiotics Associated with Nephrotoxic Effect, Drugs Commonly Used to Treat Infection and Potential Renal and Electrolyte Imbalance. During the 14-year study period, we identified 4148 admissions involving hyperkalemia, 371 of which occurred within 14 days of antibiotic exposure. 2011;6(2):4309. https://doi.org/10.1111/ajt.13322. https://doi.org/10.2215/CJN.05840710. Hyperkalemia with renal tubular dysfunction by sulfamethoxazole-trimethoprim for Pneumocystis carinii pneumonia in patients with lymphoid malignancy. J Pharm Pract. 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