Hypophosphatemia Due to Adefovir Treatment


Demir N. A., Kolgelier S., Ozcimen S., Aksoz S., Inkaya A. C.

MEDITERRANEAN JOURNAL OF INFECTION MICROBES AND ANTIMICROBIALS, cilt.1, 2012 (ESCI) identifier

Özet

Adefovir dipivoxil is an orally effective prodrug excreted unchanged in urine by glomerular filtration and tubular secretion. While it effectively suppresses hepatitis B virus replication, it may cause nephrotoxicity characterized by severe hypophosphatemia. In this report, we present a case of isolated hypophosphatemia due to long-term use of adefovir dipivoxil (10 mg/day). Due to the risk of hypophosphatemia with extended use, calcium and serum levels and symptoms suggesting nephrotoxicity should be followed in patients using adefovir dipivoxil for an extended period.