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Independents' Day

I don't have time to follow CKD script advice

I was interested in the letter from Dr Donal O'Donoghue (3 October) on prescribing safety in kidney patients.

I wonder whether, as national clinical director for kidney care, he could direct me to a dependable source of information on which drugs need dose modification in renal impairment, haemodialysis and peritoneal dialysis.

Both I and our local pharmaceutical adviser have searched in vain: even the haemodialysis unit and local nephrology department were unable to help.

Each drug may be specified in the BNF – but I'm afraid I don't have time to check every drug in every patient with CKD3 or above.

From Dr Mary Hawking, Dunstable, Bedfordshire

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