* The [[Lizard Injection|injection]] of drugs that are cleared via tubular excretion into the caudal half of the body could result in lower than anticipated serum concentration because of their excretion in the urine before entering the systemic circulation. This could potentially result in increased renal toxicity when using nephrotoxic drugs (eg. aminoglycosides); however the results of limited pharmacokinetic studies suggest that the renal portal system has less effect on drug uptake and distribution than previously thought. Furthermore, shunts exist that carry blood directly from the renal portal system to the postcava, bypassing the renal parenchyma. | * The [[Lizard Injection|injection]] of drugs that are cleared via tubular excretion into the caudal half of the body could result in lower than anticipated serum concentration because of their excretion in the urine before entering the systemic circulation. This could potentially result in increased renal toxicity when using nephrotoxic drugs (eg. aminoglycosides); however the results of limited pharmacokinetic studies suggest that the renal portal system has less effect on drug uptake and distribution than previously thought. Furthermore, shunts exist that carry blood directly from the renal portal system to the postcava, bypassing the renal parenchyma. |