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Medication precautions if you have chronic kidney disease

Healthwise
By Jeannette Curtis

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Many medicines may impair kidney function and cause kidney damage. If you have chronic kidney disease, your doctor may advise you to continue to take a medicine, but may change how much you take to protect you from kidney damage.

It is important to talk to your doctor about allprescription, over-the-counter, and herbal products that you take. Some examples of common medicines that can cause problems include:

  • Nonsteroidal anti-inflammatory drugs (NSAIDs), such as:
    • Ibuprofen (for example, Advil).
    • Aspirin (for example, Excedrin).
    • Naproxen sodium (for example, Aleve).
    • Celecoxib (Celebrex).
  • Acetaminophen (such as Tylenol) may be harmful if it is overused.
  • Herbal products, which may not be safe to use.
  • High blood pressure medicines, such as:
    • Hydralazine.
    • ACE inhibitors (for example, ramipril, captopril, and enalapril).
  • Diuretics, such as:
    • Furosemide.
    • Chlorothiazide.
    • Hydrochlorothiazide.
  • Antibiotics, such as:
    • Penicillins.
    • Sulfa drugs.
    • Cephalosporins.
  • Medicines used to treat cancer, such as:
    • Cisplatin.
    • Cyclosporine.
    • Mitomycin.

Credits

Author Jeannette Curtis
Editor Susan Van Houten, RN, BSN, MBA
Associate Editor Pat Truman, MATC
Primary Medical Reviewer E. Gregory Thompson, MD - Internal Medicine
Specialist Medical Reviewer D.C. Mendelssohn, MD, FRCPC - Nephrology
Last Updated November 13, 2007
Last Updated: 11/13/2007