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Drug removal by plasmapheresis: An evidence-based review

  • Rami B. Ibrahim
  • , Chin Liu
  • , Simon M. Cronin
  • , Bridgette C. Murphy
  • , Raymond Cha
  • , Paul Swerdlow
  • , David J. Edwards
  • Wayne State University
  • Borgess Health

Research output: Contribution to journalReview articlepeer-review

119 Scopus citations

Abstract

Contrary to the literature about drug removal during hemodialysis, data regarding drug removal during plasmapheresis are sparse. Over the last 40 years, approximately 70 publications - mostly case reports of overdoses - have described the effects of plasmapheresis on pharmaceutical agents. Important issues are drug extraction during plasma exchange with chemotherapy, as well as drug classes such as antiinfectives, anticoagulants, antiepileptics, cardiovascular agents, and immunosuppressants. Other considerations are the merits and pitfalls of the different methods used in published reports and recommendations for future pharmacokinetic studies in this field.

Original languageEnglish
Pages (from-to)1529-1549
Number of pages21
JournalPharmacotherapy
Volume27
Issue number11
DOIs
StatePublished - Nov 2007

Keywords

  • Apheresis
  • Drug removal
  • Pharmacokinetics
  • Plasma exchange
  • Plasmapheresis

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