If polycystic kidney patients should not take nsaids, what are recommended alternative painkillers?

A few options : Acetaminophen is safe doses may provide some relief for general pains and aches. Depending on type of pain, topical analgesic cream/patches or local injection may be safe and effective. For severe pain from mass effect from the pcos, narcotic analgesics may have to be employed. Discuss with nephrologist/pain management. Certain nerve blocks may be an option.