Abstract
Objective: To report the importance of the role of the clinical pharmacist in dialysis services. Literature review: Patients with chronic kidney disease on dialysis have a high rate of comorbidities and frequently use drugs from different therapeutic classes. Treatment involves a large arsenal of prescriptions and complex therapeutic regimens that increase the risk of adverse events, drug interactions and other drug-related problems. The review was organized into the following topics: epidemiology of chronic kidney disease, patient profile, complexity of drug treatment in chronic kidney disease, importance of medication reconciliation and opportunities for clinical pharmacist to act in dialysis services, as well as possible barriers to its Implementation. Final considerations: Through the evidence presented, it was possible to call attention to the several ways in which the clinical pharmacist can contribute to improving the process of medication use, reducing risks, improving the quality of services provided and improving patient outcomes on dialysis.