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Psychopharmacology with Co-Morbid Medical Impairment
Psychopharmacology with Renal Impairment
Prescribe psychiatric medications confidently when the kidney is doing the clearing — or can’t.
Every psychotropic decision in a patient with kidney disease runs through a short chain of questions: does the kidney clear this drug, does it leave behind an active metabolite that piles up, will dialysis remove it — and what changes once there’s a transplant and an immunosuppressant in the picture? Get those right and most of the class is safe to use; get them wrong and you either under-treat out of caution or quietly accumulate a drug in a patient whose clearance can’t keep up.
This course turns that chain into a fast, repeatable method: one decision framework up front, then drug-class chapters that tell you exactly what to do — the renally-cleared traps, the dose caps, and the agents you can use unchanged — followed by the dialysis and transplant logic and a point-of-care quick-reference table. Every dosing fact is verified against current FDA labeling and the primary pharmacokinetic literature.
Built for the point of care. Estimate the kidney, find the agent, read across to the dose — in under a minute. The reasoning lives in the chapters; the quick-reference capstone is the page you keep open in clinic.
Start free — two chapters, no membership
The Renal Decision Framework Free
The eGFR-to-dose logic the whole course runs on — read this first.
Lithium in CKD: Dosing Free
The drug the kidney makes hardest — renally cleared, narrow-window, nephrotoxic. How to dose it by function.
Unlock the full course
The complete Psychopharmacology with Renal Impairment course — lithium, every drug class, dialysis, transplant, and the quick-reference dosing table — plus every other course in the Academy.
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Foundations
Lithium: The Critical Drug
Dosing by Drug Class
Dialysis & Transplant
Quick Reference