Autosomal dominant polycystic kidney disease (ADPKD) is a frequent cause of chronic kidney failure requiring substitution of kidney function with dialysis. Vasopressin plays a vital role in the progression of the disease.
Tolvaptan, a V2 vasopressin receptor inhibitor, slowed the progression of chronic kidney disease in patients in the early and late stages of ADPKD. Commented European recommendations offer a practical manual on approaching the treatment with tolvaptan in patients with ADPKD and quick progression of the disease.