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. 2021 Apr 22;41(1):11–18. doi: 10.1016/j.semnephrol.2021.02.002

Table 2.

Methods to Prevent AKI When Using Opioids

Intervention Mechanism
Hydration Improve renal perfusion
Naloxone Sympathetic inhibition
HIF prolyl-hydroxylase inhibitors Promote HIF-related mechanisms to protect against ischemia
TLR2 blockade Inhibition of inflammatory response to ischemia
Thymoquinone Reduce free radical generation
κ-opioid receptor agonist Reduce free radical generation

AKI, acute kidney injury; HIF, hypoxia-inducible factor; TLR2, Toll like receptor 2.