High serum concentrations of the acyclovir main metabolite 9-carboxymethoxymethylguanine in renal failure patients with acyclovir-related neuropsychiatric side effects: an observational study.

Author: BarkholtLisbeth, DienerPer, HelldénAnders, MedinCharlotte, Odar-CederlöfIngegerd, StåhleLars, SvenssonJan-Olof, SäweJuliette

Paper Details 
Original Abstract of the Article :
Acyclovir (ACV) has been used for over two decades to treat herpes virus infections. Serious neurological adverse side effects have occurred during ACV treatment in patients with renal failure, but the cause of the symptoms remains unknown. We hypothesized that increased concentrations of the ACV ma...See full text at original site
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引用元:
https://doi.org/10.1093/ndt/gfg119

データ提供:米国国立医学図書館(NLM)

Acyclovir: A Desert Oasis with a Hidden Threat?

Acyclovir is a common antiviral medication used to treat herpes virus infections. It's like a valuable resource in the desert – providing relief from a debilitating condition. However, some patients with renal failure, especially those with high concentrations of the acyclovir metabolite 9-carboxymethoxymethylguanine (CMMG), experience neuropsychiatric side effects. This is like finding a hidden oasis with a toxic spring – the water is beautiful, but it can be harmful if consumed in excess. This research investigates the potential link between high CMMG levels and these neuropsychiatric side effects.

Acyclovir: A Case of Too Much of a Good Thing?

The study observes that patients with high CMMG levels are more likely to experience neuropsychiatric side effects during acyclovir treatment. It's like finding a lush oasis with a hidden spring that is too salty to drink – the oasis is beautiful, but the water is unusable. The study suggests that careful monitoring of CMMG levels and dosage adjustments may be necessary for patients with renal failure to avoid these potentially harmful side effects. It's like ensuring the water source is properly filtered and purified before drinking from a desert oasis – preventing potential harm from harmful substances.

Navigating the Risks of Acyclovir

This research highlights the potential risks of acyclovir treatment in patients with renal failure, emphasizing the importance of careful monitoring and dosage adjustments. It's like being aware of the hidden dangers of a desert oasis – some oases might have hidden dangers, such as toxic springs or aggressive predators. This study underscores the need for a personalized approach to medication management, ensuring that patients receive the appropriate dosage and are monitored for any potential adverse effects.

Dr.Camel's Conclusion

This research explores the potential link between high levels of acyclovir metabolite and neuropsychiatric side effects in patients with renal failure. It's like discovering a hidden danger in an otherwise beautiful oasis – a reminder that even valuable resources can have hidden risks. The study highlights the importance of careful monitoring and dosage adjustments for patients with renal failure to minimize the risk of adverse effects during acyclovir treatment.

Date :
  1. Date Completed 2003-10-14
  2. Date Revised 2019-05-13
Further Info :

Pubmed ID

12748346

DOI: Digital Object Identifier

10.1093/ndt/gfg119

Related Literature

SNS
PICO Info
in preparation
Languages

English

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