Pharmacologic Management of Autosomal Dominant Polycystic Kidney Disease

Adv Kidney Dis Health. 2023 May;30(3):228-235. doi: 10.1053/j.akdh.2023.02.002.


Autosomal dominant polycystic kidney disease (ADPKD) is the most common genetic kidney disorder and the fourth leading cause of end-stage kidney disease. ADPKD encompasses a wide range of morbidity in addition to chronic kidney disease and end-stage kidney disease, and its pathogenesis remains incompletely understood. Progress in the management of this condition includes the 2018 FDA approval of tolvaptan as the only mechanism-specific treatment available for individuals at risk of rapid progression. Assessing the risk of rapid progression is discussed at greater length in a separate article in this special issue. This section will address use and prescription of tolvaptan in more detail and address other therapies that may be considered in the treatment of patients with ADPKD.

Keywords: ADPKD; Aquaresis; Genetic kidney diseases; Liver cysts; Tolvaptan.

Publication types

  • Review

MeSH terms

  • Antidiuretic Hormone Receptor Antagonists / therapeutic use
  • Humans
  • Kidney / pathology
  • Kidney Failure, Chronic* / chemically induced
  • Polycystic Kidney, Autosomal Dominant* / drug therapy
  • Tolvaptan / therapeutic use


  • Tolvaptan
  • Antidiuretic Hormone Receptor Antagonists