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Low-dose adefovir dipivoxil-induced hypophosphatemia osteomalacia in five chronic hepatitis B virus-infected patients. Is low-dose adefovir dipivoxil-induced nephrotoxicity completely reversible?
Author: DaiZhi-Juan, JinJian, PanYou-Jin, QianYan-Ying, RuanLu-Ya, ShiMeng-Te, WuChao-Ming, ZhuYao-Xin
Original Abstract of the Article :
Adefovir dipivoxil (ADV) is one of the most important nucleostide analogues currently in use for the treatment of chronic hepatitis B virus (HBV) infection. Low-dose ADV-induced nephrotoxicity in most cases was reported to be reversible after the discontinuation of ADV or by decreasing the dose of A...See full text at original site
Dr.Camel's Paper Summary Blogラクダ博士について
ラクダ博士は、Health Journal が論文の内容を分かりやすく解説するために作成した架空のキャラクターです。
難解な医学論文を、専門知識のない方にも理解しやすいように、噛み砕いて説明することを目指しています。
* ラクダ博士による解説は、あくまで論文の要点をまとめたものであり、原論文の完全な代替となるものではありません。詳細な内容については、必ず原論文をご参照ください。
* ラクダ博士は架空のキャラクターであり、実際の医学研究者や医療従事者とは一切関係がありません。
* 解説の内容は Health Journal が独自に解釈・作成したものであり、原論文の著者または出版社の見解を反映するものではありません。
引用元:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6498959/
データ提供:米国国立医学図書館(NLM)
Low-Dose Adefovir Dipivoxil: A Double-Edged Sword for Hepatitis B?
Hepatitis B is a formidable foe, and in the battle against it, we’ve developed some powerful weapons, like Adefovir Dipivoxil (ADV). This study delves into the complex relationship between ADV and its effects on the kidneys, particularly in patients with chronic Hepatitis B virus (HBV) infection. It’s like exploring a vast desert, where the oasis of cure can be elusive and unexpected challenges arise. This study uses a variety of techniques to examine the impact of ADV, with a specific focus on the potential for kidney damage.
A Closer Look at the Oasis: ADV and its Impact on the Kidneys
The researchers found that low doses of ADV, while effective against HBV, can have unexpected consequences for kidney health. In some cases, the drug can lead to hypophosphatemia osteomalacia, a condition that weakens bones. It’s like a mirage in the desert – something that appears beneficial but can have hidden dangers. In some patients, kidney function recovered after stopping ADV, but others experienced persistent damage, highlighting the unpredictable nature of this treatment.
Navigating the Desert: What to Do with Low-Dose ADV
These findings suggest that low-dose ADV, while often effective, requires careful monitoring. It’s like venturing into the desert – it’s important to have a compass and be prepared for unexpected challenges. This study underscores the importance of individualized treatment plans for Hepatitis B patients, considering factors like origin and body mass index.
Dr. Camel’s Conclusion
This research reminds us that even seemingly safe treatments can have unexpected consequences. Like a desert that holds both beauty and danger, low-dose ADV can be a valuable tool in the fight against HBV, but it also requires careful navigation to ensure patient safety. It’s crucial to strike a balance between treatment effectiveness and potential side effects, making sure we provide the best care for our patients.
Date :
- Date Completed 2020-02-27
- Date Revised 2020-02-27
Further Info :
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