Drugs secreted in the kidney explained

This is a table of drugs that are secreted in the kidney.

Acid medication are, because of pH partition, secreted to a higher extent when urine is basic. In the same way, basic medications are secreted to a higher extent when urine is acidic.

MedicationLocation Acid or base[1] anion or cation[2] Percentage excreted[3]
para-aminohippurateproximal tubule[4] Acid anion
furosemideAcid anion 100-75
glucuronic acid-conjugatesAcid
glycine conjugatesAcid
indometacinAcid anion
methotrexateAcid 100-75
penicillinAcid anion 75-50
(benzylpenicillin)
probenecidAcid anion
sulphate conjugatesAcid
thiazide diureticsAcid
uric acidAcid
amilorideBase cation
dopamineBase
histamineBase
mepacrineBase
morphineBase cation
pethidineBase
quaternary ammonium compoundsBase
quinineBase cation
5-hydroxytryptamine (serotonin)Base
triamtereneBase
gentamicin100-75
atenolol100-75
digoxin100-75
cimetidinecation 75-50
tetracycline75-50
(oxytetracycline)
neostigmine75-50
propantheline~50
tubocurarine~50
acetazolamideproximal tubule[5] anion
chlorothiazideanion
saccharinanion
salicylateanion
atropinecation
NMNcation
paraquatcation
procainamidecation
tetraethylammoniumcation
chlorpromazinecation

Notes and References

  1. Unless else specified in table boxes, then ref is Book: Rang, H. P. . Pharmacology . Churchill Livingstone . Edinburgh . 2003 . 0-443-07145-4 . Page 112
  2. Unless else specified in table boxes, then ref is Book: Walter F., PhD. Boron . Medical Physiology: A Cellular And Molecular Approach . Elsevier/Saunders . 1-4160-2328-3 . Page 802
  3. Unless else specified in table boxes, then ref is Book: Rang, H. P. . Pharmacology . Churchill Livingstone . Edinburgh . 2003 . 0-443-07145-4 . Page 113
  4. Book: Rang, H. P. . Pharmacology . Churchill Livingstone . Edinburgh . 2003 . 0-443-07145-4 . Page 112
  5. Book: Walter F., PhD. Boron . Medical Physiology: A Cellular And Molecular Approach . Elsevier/Saunders . 1-4160-2328-3 . Page 802