H2 Blockers · Pharmacology

Why is dose adjustment necessary for H2 blockers in patients with chronic kidney disease?

  1. Because they are hepatotoxic at normal doses
  2. Because they are excreted unchanged by the kidneys
  3. Because they crystallize and form kidney stones
  4. Because renal failure increases gastric acid production
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Correct answer: Because they are excreted unchanged by the kidneys

Most H2 blockers (especially Famotidine and Nizatidine) are cleared by the kidneys. In patients with renal insufficiency, the half-life of these drugs is significantly prolonged, increasing the risk of adverse effects.

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