Medications: Over the Counter / Prescribed / Herbal

Tune into this episode where Dallas Nephrologist Dr. Daniel Richey talks about how some medications can keep your kidneys from working the way they should. Dr. Richey covers the most common over-the-counter (OTC) medications that are approved and not approved for patients diagnosed with kidney disease. Learn how to choose the right medications, and which ones to avoid.
What OTC Medications Should Kidney Patients Avoid
Dr. Richey explains that the most important class of medications that patients with kidney disease should know about are non-steroidal anti-inflammatory drugs (NSAIDs). These include brand names like Ibuprofen, Aleve, Motrin and Naproxen.
Kidney Damage From OTC Drugs - NSAIDs
NSAIDs can be very dangerous for patients who have kidney disease to use on a daily basis. Dr. Richey tells his patients that it’s OK to use these kinds of over-the-counter medications if they have an acute injury or need to reduce a fever.
While NSAIDs can sometimes be used sparingly, taking them on an ongoing basis can cause severe damage to the kidneys.
Dr. Richey emphasizes that he’s seen many patients experience significant kidney function decline as a result of improper NSAID use. He recommends talking to your doctor if you're not sure if you're taking an NSAID.
Medications, Supplements That Cause High Blood Pressure
NSAIDs can cause fluid retention, electrolyte disturbances in blood work and can raise your blood pressure.
Other supplements, medications and herbs that can cause high blood pressure include:
Pseudoephedrine, which is commonly used for colds to relieve sinus stuffiness
Popular over-the-counter weight loss supplements
Licorice extract and licorice
Some preparations of Chinese herbs
Additionally, for many kidney disease patients, Vitamin C can be safe, Dr. Richey says. But patients with a history of kidney stones need to be careful with Vitamin C.
What Over-the-Counter (OTC) Medications Can Kidney Patients Take For Pain?
When it comes to selecting over-the-counter drugs for joint pain and fever, Dr. Richey says your choices are pretty straightforward - Tylenol (or acetaminophen). He says that these medications are completely safe for your kidneys.
Keep Your Kidney Doctor in the Loop
Kidney patients often see several different doctors who prescribe them medications, so their lists change on a regular basis. Dr. Richey recommends that patients keep a list of their medications so they can bring it to their doctor appointments. When your kidney doctors know exactly what medications you’re taking, they can provide you with the best overall care.