Long-Term Efficacy of Tolvaptan in Managing Enlarged Polycystic Kidneys A Case Study

Introduction

Key Case Findings

  • Patient Profile: 61-year-old male with ADPKD (Irazabal Class 1E) and progressive renal decline.
  • Treatment Regimen: Initiated with tolvaptan 60 mg/day, later increased to 120 mg/day over two years.
  • Outcome Over 8 Years:
    • Serum creatinine stabilized at 1.51 mg/dL.
    • Total kidney volume (TKV) showed a slower progression (from 7301 cm³ to 6812 cm³).
    • No significant adverse effects reported.
    • Weight control and salt intake played a key role in treatment success.

The Role of Tolvaptan in ADPKD

External Insights & Expert Opinions

Strategic Links for Further Reading

Final Thoughts

This case underscores the importance of early intervention, proper weight management, and dietary adjustments in enhancing tolvaptan’s effectiveness for ADPKD patients.
What are your thoughts on tolvaptan’s role in ADPKD management? Share your insights in the comments below!

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