Exemplos de uso de Calcimimetics em Inglês e suas traduções para o Português
{-}
-
Colloquial
-
Official
-
Medicine
-
Financial
-
Ecclesiastic
-
Ecclesiastic
-
Computer
-
Official/political
This implies the use of calcitriol orvitamin D analogs and/ or calcimimetics.
They also showed a direct inhibition by calcimimetics of phosphate-induced human VSMC calcification in vitro.
Patients with CKD-MBD in developing countries often have limited access to medications(particularly calcimimetics) and surgery.
Koleganova et al. reported that calcimimetics increase MGP expression and decrease Pit1 expression in uremic rats, preventing vessel wall remodeling.
There is more limited evidence for a positive effect of calcimimetics on VC in the clinical setting.
At present, nephrologists are treating the disease by targeting the parathyroid glands either directly or indirectly using phosphate binders with or without calcium,vitamin D receptor activators and calcimimetics.
Ivanovski et al. showed a protective effect of calcimimetics against the progression of VC and atherosclerosis in uremic apolipoprotein-E knockout mice.
Choosing subtotal parathyroidectomy with posterior clinical management of hypercalcemia if needed perhaps with calcimimetics or other drugs might be an option.
Even the use of medications, such as prescription calcimimetics or vitamin D analogues, could be suggested according to the adopted PTH target levels.
Alam et al. showed that a reduction in CaR expression in VSMC is associated with increased mineralization, and that calcimimetics can attenuate mineral deposition.
In a mouse model of CKD, calcimimetics delayed the progression of aortic calcification and atherosclerosis, and in a uremic rat model calcimimetics attenuated media calcification and proliferation of VSMC.
In individuals with a PTH reduction below two times the upper limit of the method, calcitriol,vitamin D analogs, and calcimimetics should be suspended or have their doses reduced.
The administration of calcimimetics to dialysis patients with secondary hyperparathyroidism, in addition to lowering serum PTH, calcium and phosphate, can also reduce the progression of VC, as shown in the recent ADVANCE study.
On the other hand, those with hypocalcemia should interrupt the use of calcimimetics depending on the severity of the condition, symptomatology, and concomitant medications.
Velphoro should be used within the context of a multiple therapeutic approach, which could include calcium supplement, 1,25-dihydroxy vitamin D3 orone of its analogues, or calcimimetics to control the development of renal bone disease.
These observations suggest that calcimimetics play an important role in VC not only by indirect effects, such as improved control of serum PTH, calcium and phosphate levels, but also by a direct effect on vascular cells.
Despite a reduction in the number of surgical procedures worldwide,which has occurred mainly after the introduction of calcimimetics over the past decade, 9- 10 surgery still plays a very important role in the management of CKD-MBD.
Currently, the options available to lower serum phosphate in CKD patients with hyperphosphatemia are i limiting dietary phosphate intake while ensuring adequate protein intake, ii increasing the frequency or duration of dialysis in CKD stage 5D, andiii using phosphate binders and calcimimetics.
Based on available experimental and clinical evidence, several drugs currently used for the treatment of CKD-MBD,including sevelamer and calcimimetics, appear to exert at least partially protective effects against the VC process associated with CKD.
In addition to the methodology used in dosing, renal disease etiology, time on dialysis, dialysis dose, dialysate electrolyte composition, access to phosphate binders,vitamin D and calcimimetics, and ease to perform parathyroidectomy are factors that influence PTH.