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Conivaptan

VAPRISOL

What it isDual V1a and V2 vasopressin antagonist; euvolemic and hypervolemic hyponatremia.

Why this oneIntravenous aquaresis raises sodium without a fluid load.

What limits itIt must not correct sodium too fast — osmotic demyelination. IV only, and a strong CYP3A4 inhibitor.

FDA-approved for

NO BOXED WARNINGS

Principal riskToo-rapid sodium correction; a strong CYP3A4 inhibitor

Classes and tags

Clinical profile

Direct muscarinic antagonism0 / 4

Mechanism of action: Conivaptan ballicule

Conivaptan ballicule: receptor binding, kinetics and half-life diagram

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