Ertapenem Neurotoxicity in Hemodialysis Patients-Safe and Effective Dosing Is Still Needed: A Retrospective Study and Literature Review.
Wasim S El NekidyHazem ElrefaeiTerrence J Lee St JohnNizar M AttallahFarah KablaouiAhmad NusairBartlomiej Piechowski-JozwiakJanise PhillipsIslam M GhaziPublished in: The Annals of pharmacotherapy (2020)
The currently approved ertapenem dose imposes a risk of developing neurotoxicity in patients with CKD-5D. Utilizing the published data in this population, alternative post-dialysis dosing strategies administered through dialysis access such as 1 g loading dose, followed by either 0.5 g (for the 48 hours interdialytic time) or 1 g (for the 72 hours interdialytic time) might warrant further investigation for efficacy and safety.