The headline “Eight pills you shouldn’t take because they damage your kidneys” is a bit misleading. Many medicines can be used safely when prescribed and monitored, but some can stress the kidneys in certain people, especially with high doses, long-term use, dehydration, or existing kidney disease.
Here are 8 types of medicines that may require kidney caution:
- NSAID pain relievers
- Examples: ibuprofen, naproxen, diclofenac
- Frequent or high-dose use may reduce kidney blood flow and increase the risk of kidney injury.
- Certain antibiotics
- Some antibiotics can affect kidney function and may need dose adjustments or monitoring.
- Some acid-reducing medicines
- Long-term use of certain proton pump inhibitors (PPIs) has been associated with kidney problems in some studies.
- Diuretics (“water pills”)
- These can affect kidney function by changing fluid and electrolyte balance, especially if dehydration occurs.
- Some blood pressure medicines
- ACE inhibitors and ARBs can change kidney blood flow. They are often beneficial for many patients, but kidney function and potassium levels may need checking.
- Certain antiviral medicines
- Some antivirals can put stress on the kidneys and require careful dosing.
- Some chemotherapy medicines
- Certain cancer treatments can be harmful to kidneys, so doctors often monitor kidney tests.
- High-dose or unregulated supplements
- Some herbal products and excessive supplement use can affect kidney health or interact with medicines.
To protect your kidneys:
- Avoid frequent use of painkillers without medical advice.
- Stay hydrated, especially during illness or hot weather.
- Tell your healthcare provider about all prescriptions, over-the-counter medicines, and supplements.
- Have kidney function checked if you have diabetes, high blood pressure, or kidney risk factors.
Do not stop a prescribed medication on your own. A medicine that needs monitoring may still be the best treatment for your condition.
If you share the names of the pills you take, I can help identify which ones are most important to discuss with your doctor or pharmacist.
