A Rare Occurrence of Hyperkalemia Following Remdesivir: A Case Series


  •   Harsh H. Patel

  •   Sapna D. Gupta

  •   Supriya D. Malhotra


Remdesivir is a nucleoside analog with broad-spectrum antiviral activity against several viruses such as respiratory syncytial virus, Nipah virus, Ebola virus (EBOV), Middle East respiratory syndrome (MERS-CoV), and Severe Acute respiratory Syndrome Coronavirus-1 (SARS-CoV-1). Remdesivir has been used in moderate to severe COVID-19 during the pandemic. Remdesivir is associated with various adverse drug reactions like serum transaminase elevation, nausea, diarrhea, vomiting, poor appetite, gastroparesis, pneumothorax, hypotension, hematuria etc. It has been rarely associated with hyperkalemia. We have reported 3 cases of hyperkalemia following Remdesivir use. In all 3 cases, patients did not have any renal pathology or history of alcohol consumption. Patients were not taking any concurrent medication which increases serum potassium levels with such characteristics seen in our cases. Temporal association was present between hyperkalemia and initiation of Remdesivir in all cases described. Hence, it is very important to be vigilant while prescribing Remdesivir in COVID-19.

Keywords: Adverse drug reaction, Hyperkalemia, Rare occurrence, Remdesivir


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How to Cite
Patel, H. H., Gupta, S. D., & Malhotra, S. D. (2021). A Rare Occurrence of Hyperkalemia Following Remdesivir: A Case Series. European Journal of Clinical Medicine, 2(5), 4–6. https://doi.org/10.24018/clinicmed.2021.2.5.121