Terlipressin for the Prevention and Treatment of Renal Decline in Hepatorenal Syndrome: A Drug Profile

Hepatorenal syndrome stands as one of several potential triggers of acute kidney injury in individuals grappling with either acute or persistent liver ailments. The nature of the decline in kidney function has led to the identification of two variants of hepatorenal syndrome. In cases where terlipre...

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Main Authors: Ahlam Ayyad, Rami A. Al-Horani
Format: Article
Language:English
Published: MDPI AG 2023-09-01
Series:Gastroenterology Insights
Subjects:
Online Access:https://www.mdpi.com/2036-7422/14/4/31
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author Ahlam Ayyad
Rami A. Al-Horani
author_facet Ahlam Ayyad
Rami A. Al-Horani
author_sort Ahlam Ayyad
collection DOAJ
description Hepatorenal syndrome stands as one of several potential triggers of acute kidney injury in individuals grappling with either acute or persistent liver ailments. The nature of the decline in kidney function has led to the identification of two variants of hepatorenal syndrome. In cases where terlipressin therapy is accessible, the initial approach involves administering terlipressin alongside albumin. Terlipressin, a synthetic analog of vasopressin, boasts double the preference for vasopressin V1 receptors compared to V2 receptors. The FDA granted approval to terlipressin in September 2022, demonstrating its intrinsic activity, although a significant portion of its function arises from its transformation into lysine vasopressin. This article provides a comprehensive examination of terlipressin’s various pharmacodynamic and pharmacokinetic facets, as well as its clinical utility, aiming to keep the scientific community well informed about its safe and efficient utilization.
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spelling doaj.art-70a2cf6f5c1d42e6b32a5cda882a0bd82023-12-22T14:10:29ZengMDPI AGGastroenterology Insights2036-74142036-74222023-09-0114442043010.3390/gastroent14040031Terlipressin for the Prevention and Treatment of Renal Decline in Hepatorenal Syndrome: A Drug ProfileAhlam Ayyad0Rami A. Al-Horani1Division of Clinical and Administrative Sciences, College of Pharmacy, Xavier University of Louisiana, New Orleans, LA 70125, USADivision of Basic Pharmaceutical Sciences, College of Pharmacy, Xavier University of Louisiana, New Orleans, LA 70125, USAHepatorenal syndrome stands as one of several potential triggers of acute kidney injury in individuals grappling with either acute or persistent liver ailments. The nature of the decline in kidney function has led to the identification of two variants of hepatorenal syndrome. In cases where terlipressin therapy is accessible, the initial approach involves administering terlipressin alongside albumin. Terlipressin, a synthetic analog of vasopressin, boasts double the preference for vasopressin V1 receptors compared to V2 receptors. The FDA granted approval to terlipressin in September 2022, demonstrating its intrinsic activity, although a significant portion of its function arises from its transformation into lysine vasopressin. This article provides a comprehensive examination of terlipressin’s various pharmacodynamic and pharmacokinetic facets, as well as its clinical utility, aiming to keep the scientific community well informed about its safe and efficient utilization.https://www.mdpi.com/2036-7422/14/4/31hepatorenal syndromeacute kidney injuryterlipressinvasopressin analogue
spellingShingle Ahlam Ayyad
Rami A. Al-Horani
Terlipressin for the Prevention and Treatment of Renal Decline in Hepatorenal Syndrome: A Drug Profile
Gastroenterology Insights
hepatorenal syndrome
acute kidney injury
terlipressin
vasopressin analogue
title Terlipressin for the Prevention and Treatment of Renal Decline in Hepatorenal Syndrome: A Drug Profile
title_full Terlipressin for the Prevention and Treatment of Renal Decline in Hepatorenal Syndrome: A Drug Profile
title_fullStr Terlipressin for the Prevention and Treatment of Renal Decline in Hepatorenal Syndrome: A Drug Profile
title_full_unstemmed Terlipressin for the Prevention and Treatment of Renal Decline in Hepatorenal Syndrome: A Drug Profile
title_short Terlipressin for the Prevention and Treatment of Renal Decline in Hepatorenal Syndrome: A Drug Profile
title_sort terlipressin for the prevention and treatment of renal decline in hepatorenal syndrome a drug profile
topic hepatorenal syndrome
acute kidney injury
terlipressin
vasopressin analogue
url https://www.mdpi.com/2036-7422/14/4/31
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