Does remdesivir cause kidney failure?

Does remdesivir cause kidney failure? Remdesivir, also known by its brand name Veklury, is an antiviral medicine that cures various viral infections, one of which is COVID-19. However, the data could be more precise about its impact on the health of the kidneys. While there is consensus amongst certain medical professionals that remdesivir is typically safe and effective, others advise against using it as a treatment for COVID-19 because it might cause damage to the kidneys. Other drugs may be just as effective while posing a lesser risk of renal injury. This page discusses whether remdesivir drives kidney failure, the most recent findings from studies on remdesivir and the possible renal damage it may cause.

What exactly is remdesivir?

Remdesivir is a medication used to treat viral infections; its mechanism of action involves suppressing the replication of viruses by destroying their RNA to achieve this goal. The Food and Drug Administration has granted the go-ahead for the intravenous administration of Remdesivir to be used as a therapy for severe instances of COVID-19 (FDA). It is appropriate for adults and children who have reached at least 28 days of age and weigh at least 6.6 pounds, equivalent to 3 kilograms.

Does remdesivir cause kidney failure in adults?

The recovery period may be shortened in an adult population safely and effectively. In a process that may last anywhere from 30 to 120 minutes, remdesivir is given to a patient intravenously via a vein in a hospital setting. They take the drug once every day for anywhere between five and ten days. Several trials were conducted on Remdesivir, and the results revealed that it was generally beneficial in treating COVID-19.

Is there a risk that it may damage the kidneys?

The antiviral medicine remdesivir can cause kidney failure in people with compromised renal function. Therefore, medical professionals strongly advise doing a kidney function test on a person before they begin using the medicine. Patients suffering from renal failure should avoid taking it since their doctors do not recommend it. This precaution is necessary for the part because of how remdesivir operates.

The capability of eliminating SBECD:

The powdered and liquid forms of the drug include amounts of a chemical known as sulfobutylether beta-cyclodextrin sodium that is within the range regarded as safe by professionals in the medical field. Normal kidneys have the capability of eliminating SBECD from the body. On the other hand, those who already have a renal illness or kidney failure have a greater risk of toxicity in their liver or kidneys due to the synthesis of this chemical. Environmental concentrations of this substance enhance this risk.

Non-existent effect on the risk:

Remdesivir had a negligible or non-existent effect on the risk of suffering renal damage in the study. Remdesivir is an antiviral medicine that has made it possible for medical professionals to treat a wide variety of viral infections in a manner that is both effective and free of the side effects typically associated with other antiviral medications. They did not address the possibility of kidney damage or failure as a consequence of infections, including the SARS-CoV-2 infection, which is the disease that produces COVID-19.

Treatment with remdesivir:

Patients receiving treatment with remdesivir have recorded incidences of acute renal failure. In addition, they sought cases of ARF in COVID-19 patients who were already receiving treatment with other drugs. Those infections are responsible for producing COVID-19. According to the opinions of other professionals, the powdered form could even be suitable for those with renal issues.

Remdesivir is safe for renal patients:

Remdesivir is not recommended for use by those who have renal problems. Even if there is evidence suggesting this medicine may be risk-free, many medical professionals do not advocate for its regular usage. Regarding this topic, a person with reduced renal function should see a medical professional. Healthcare professionals that specialize in renal care may devise a treatment strategy for the patient that takes into consideration the fact that there is a risk of kidney damage.

Which of the Covid drugs is responsible for renal failure?

We found a nephrotoxicity pharmacovigilance signal for remdesivir that was statistically significant. Thus, a qualitative analysis of all the information is necessary. This is because we discovered that the movement was statistically significant. This signal was found despite the limits inherent to the COVID-19 circumstances; it was predicated on ARF occurrences recorded in VigiBase, and it was found in those cases. This signal was found despite the constraints inherent to the COVID-19 criteria.

Role of Cyclodextrin carrier:

The kidneys may be negatively influenced by the undesirable side effects of alternative treatments that are equally as effective as the ones that are now used to treat infections. Still, there is also the possibility that this impact will be reduced. A cyclodextrin carrier is required for the remdesivir solution to be moved from one stage of the procedure to the next.


Even though a few studies have shown that this medication is generally safe and effective in treating viral infections, including the virus that leads to COVID-19, most research suggests that this treatment may increase the risk of kidney damage. Even though certain studies have highlighted the medication’s general safety and efficacy in treating viral infections, this is even though a few studies emphasize this medicine’s public safety and effectiveness in treating viral infections.


Does remdesivir cause kidney failure?

Patients with poor renal function cannot clear it quickly, so taking remdesivir in combination with COVID-19 medication may affect the liver or kidneys.

Are there any possibilities that antivirals affect the kidneys?

In some circumstances, antiviral medicine has the potential to cause renal failure. Injury to the renal tubules may be caused by several recently developed medications, each of which has a distinctive effect on the epithelial cells lining the renal tubules.




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