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A Unique Case of Drug Interaction between Ticagrelor and Statin Leading to Acute Renal Failure

Dual antiplatelet agents and high-intensity statins are frequently used in combination after myocardial infarction. Ticagrelor has the potential of causing acute kidney injury. Rosuvastatin is excreted through the kidneys and dose adjustment is needed in patients with kidney disease. When used in co...

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Detalles Bibliográficos
Autores principales: Samuel, Gbeminiyi, Atanda, Adebayo C, Onyemeh, Alex, Awan, Ahmad, Ajiboye, Oyintayo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5663323/
https://www.ncbi.nlm.nih.gov/pubmed/29104841
http://dx.doi.org/10.7759/cureus.1633
Descripción
Sumario:Dual antiplatelet agents and high-intensity statins are frequently used in combination after myocardial infarction. Ticagrelor has the potential of causing acute kidney injury. Rosuvastatin is excreted through the kidneys and dose adjustment is needed in patients with kidney disease. When used in combination, they can potentiate the toxic effects of each other. We report a case of drug interaction between rosuvastatin and ticagrelor resulting in rhabdomyolysis and acute renal failure necessitating dialysis. This case stresses the importance of monitoring renal function and adjusting the dose of rosuvastatin accordingly in patients with kidney disease.