The Drug Explorer

Search the nephrotoxic landscape

A live index of 240+ anti-cancer agents, cross-filterable by injury signature, drug class, nephron segment, severity, and era. Profiled agents open to a full citation-grounded page; the rest are catalog entries with their signature kidney signal.

16 agents · filtered from 240

Chlorambucil

Leukeran · Alkylating agent (nitrogen mustard)

Profile

Minimal direct nephrotoxicity; rare drug-associated SIADH/hyponatremia is the kidney-relevant signal.

SIADHLYTE
MildOpen →

Cyclophosphamide

Cytoxan · Oxazaphosphorine alkylator

Profile

Vasopressin-independent hyponatremia; hemorrhagic cystitis.

SIADHCYST
MildOpen →

Lazertinib

Lazcluze · EGFR TKI (3rd-gen)

Profile

2024 EGFR TKI; hyponatremia like osimertinib.

SIADHLYTE
MildOpen →

Melphalan

Alkeran · Alkylator

Profile

SIADH in high-dose myeloma conditioning; renally cleared.

SIADHLYTE
MildOpen →

Mitotane

Lysodren · Adrenolytic

Profile

Indirect: hypoadrenalism drives hyponatremia/prerenal; cisplatin nephrotoxicity in EDP-M.

LYTEPRESIADH
ModerateOpen →

Octreotide

Sandostatin · Somatostatin analog

Profile

Kidney-neutral/possibly renoprotective; renally cleared, caution in severe CKD/dialysis.

LYTEPRESIADH
MildOpen →

Osimertinib

Tagrisso · EGFR TKI

Profile

Hyponatremia and occasional AKI.

SIADHLYTE
MildOpen →

Selinexor

Xpovio · XPO1 (nuclear export) inhibitor

Profile

Hyponatremia is common and dose-limiting.

SIADHLYTEPRE
ModerateOpen →

Sunvozertinib

Zegfrovy · EGFR exon20 TKI

Profile

2025 EGFR exon20 TKI; electrolyte effects emerging.

SIADHLYTEPRE
MildOpen →

Tamoxifen

Nolvadex · SERM

Profile

Hypercalcemia flare; rare hyponatremia.

SIADHLYTE
MildOpen →

Temozolomide

Temodar · Alkylator

Profile

Occasional SIADH; generally renally well tolerated.

SIADHLYTE
MildOpen →

Vinblastine

Velban · Vinca alkaloid

Profile

SIADH and rare Raynaud/vascular events.

SIADHLYTE
MildOpen →

Vincristine

Oncovin · Vinca alkaloid

Profile

SIADH → hyponatremia.

SIADHLYTE
MildOpen →

Vinflunine

Javlor · Vinca alkaloid

Profile

Used because of renal impairment (cisplatin-unfit urothelial); CrCl-based dose bands; watch SIADH/hyponatremia.

LYTEPRESIADH
MildOpen →

Vinorelbine

Navelbine · Vinca alkaloid

Profile

SIADH reports.

SIADHLYTE
MildOpen →

Vismodegib

Erivedge · Hedgehog (SMO) inhibitor

Profile

Muscle spasms; hyponatremia reported.

SIADHLYTE
MildOpen →