The effect of renal failure on the excretion and metabolism of 3H‐reserpine was studied in 15 patients. The plasma level and urinary and fecal exeretion of the drug were followed for 7 days. There was a correlation between the urinary excretion of total radioactivity, plasma half‐life, and creatinine clearance, but no correlation between fecal excretion and degree of renal impairment.