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Doctor insights on: Which Pain Medications Are Safe To Use If I Have Kidney Disease

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Which pain medications are safe to use if I have kidney disease?

Which pain medications are safe to use if I have kidney disease?

Tylenol (acetaminophen): If you have kidney disease, nsaids like alleve and Advil can further worsen your kidney disease or increase your blood pressure. Therefore these medicines should be avoided in patients with ckd. If you have pain, tylenol (acetaminophen) would be your safest option. ...Read more

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Kidney (Definition)

The kidneys are paired organs that lie on either side of the vertebral column. Part of their critical functions include the excretion of urine and removal of nitrogenous wastes products from the blood. They regulate acid-base, electrolyte, fluid balance and blood pressure. Through hormonal signals, the kidneys control the ...Read more


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What is the best treatment for costochondritis if I cannot take anti-inflammatory medications due to chronic kidney disease?

What is the best treatment for costochondritis if I cannot take anti-inflammatory medications due to chronic kidney disease?

Topical Ice: Initially topical ice is probably the best choice. If after a few days this is not resolving, a doctor with the appropriate training could consider doing a steroid injection in the affected cartilage. ...Read more

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What pain reliever is safe to use with diabetic retinopathy? I know aspirin can increase bleeding risk, so i assume it wouldn't be safe for someone with diabetic retinopathy. Are other nsaid's ok? .

What pain reliever is safe to use with diabetic retinopathy? I know aspirin can increase bleeding risk, so i assume it wouldn't be safe for someone with diabetic retinopathy. Are other nsaid's ok?

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Diabetic : Diabetic retinopathy comes in many forms. In general, I do not advise stopping of nsaids or Aspirin in patients with diabetic retinopathy (some of these patients have underlying cardiac disease - an Aspirin daily is beneficial in these patients for systemic health). If someone has proliferative diabetic retinopathy, use of nsaids or Aspirin could theoretically increase the size of a bleed should it occur. Someone with proliferative diabetic retinopathy should be followed closely and treatment by laser can preserve vision in these patients. ...Read more

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Can taking one tablet polycolsinol cause you to get muscle pains like some people get with taking a statin drugs. Could polycolsinol do that also?

Can taking one tablet  polycolsinol cause you to get muscle pains like some people get with taking a statin drugs.  Could polycolsinol do that also?

Not reported: It is not reported to cause muscle pain. It has been tested and not shown to decrease cholesterol. It is a supplement you know. the side effects are rashes, redness of the skin, stomach upsets,increased appetite, loss o fbody weight, drowsiness, migraines, urine difficulty, irritability, dizziness, gum and nose bleeds, insomnia, ...Read more

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Trying to conceive but having issues, used to use painkillers and other street drugs but now clean and on methadone, can I get this treated?

Trying to conceive but having issues, used to use painkillers and other street drugs but now clean and on methadone, can I get this treated?

Yes: Hi, if you and your partner have tried for 6 months and not able to get pregnant, you should definitely consider getting an exam by an urologist to do a sperm analysis and other tests. Not sure that the past drug use is directly affecting your fertility, but if you had sexually transmitted infections in the past those could do some harm. Men can have STI without symptoms so get checked. ...Read more

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I might have ankylosong spondylitis. Got some meds due to neck pain containing nsaid and prednisolone. Is it okay to take these in a.S patient?!

I might have ankylosong spondylitis. Got some meds due to neck pain containing nsaid and prednisolone. Is it okay to take these in a.S patient?!

I would avoid steroi: ...Ds. Long term steroid use @ ur age can b devastating ; 2 b avoided. The NSAID specific 4 as is indocin (indomethacin). If not on this, ask ur treating md if it is ok 2 try it. Has a lot of side effects especially GI but not as bad as steroids. If u r able 2 tolerate it, it works the best of all. In fact it's also a good diagnostic tool since the response is rapid. Good luck! ...Read more

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I have diabetes and currently taking metformin. The metformin is not working like it use to. What are some other drugs i can bring up to my doctor.

I have diabetes and currently taking metformin.   The metformin is not working like it use to.  What are some other drugs i can bring up to my doctor.

Depends: Depends on your a1c. If its over 9.0 you need insulin. Less than 9.0 consider Invokana or victoza (liraglutide) in combination with metformin. Have doctor check a gad antibody to see if you have lada in which case you will need insulin. ...Read more

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Why can acupressure mats cause seizures, which they did for me? I then noticed: "warning: do not use if you are pregnant, have epilepsy, or are using anticoagulants or blood thinning medications."

Why can acupressure mats cause seizures, which they did for me?  I then noticed:  "warning: do not use if you are pregnant, have epilepsy, or are using anticoagulants or blood thinning medications."

What??: Under no circumstances can use of an acupressure mat cause seizure activity, unless you tripped on one and suffered head trauma. Stop dancing around your problems, see a neurologist asap and get on antiepileptic meds. Are you aware of sudep, a cause of death in your sleep if you have inadequately treated nocturnal seizures? ...Read more

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Just diagnosed with adult adhd. I also have CAD w/ 30% blockage, hypertension and asthma. Which treatments can I use that are not contraindicated?

Just diagnosed with adult adhd. I also have CAD w/ 30% blockage, hypertension and asthma. Which treatments can I use that are not contraindicated?

All treatments for: Add are stimulants and provide some strain on the heart, best to check with your primary doctor or cardiologist. ...Read more

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Is there any way to reduce my sensitivity to medications if I have liver disease?

Is there any way to reduce my sensitivity to medications if I have liver disease?

Don't understand: Not quite sure what you are asking. If you've been told that certain medications are not safe because of your liver disease there is little to be done. ...Read more

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Are medicines really safe to take if I have decreased urination from kidneys ?

Are medicines really safe to take if I have decreased urination from kidneys ?

See below: If you have decreased urination you may be dehydrated or you have loss of kidney function. Many medications are excreted or eliminated by the kidneys and may be harmful if the dose is not adjusted or in some cases with reduced or no function contraindicated.Tell your doctor. ...Read more

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If I have chronic kidney disease, do I need to take medication as well?

If I have chronic kidney disease, do I need to take medication as well?

CKD medications: With all medical conditions medicine should only be used if absolutely neccesary, since all medicine has some risk of toxicity. In ckd meds can help, especially in more advanced stages or certain complications. Meds may be used for blood pressure control, renal protection, regulation of mineral metabolism, or help with anemia. But some patients can do great with careful diet and exercise alone. ...Read more

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For someone who can't take blood thinners or opiates, when the third muscle relaxer they have tried hasn't help what can they use for chronic pain?

For someone who can't take blood thinners or opiates, when the third muscle relaxer they have tried hasn't help what can they use for chronic pain?

Chronic pain tx: Chronic pain is a condition in which neurological processes have caused the cortical areas in the brain that process pain to become more and more efficient in serving pain despite a lack of need to heed pain signals. Pain no longer becomes useful at that point. The principles of neuroplasticity can be used to help a person in pain overcome pain without medications. See comments below for more. ...Read more

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I have been in remision from ulcerative colitis. If i want to take a nsaid aka motrin is it okay or will this cause a flare up? Which nsaids are safe?

I have been in remision from ulcerative colitis. If i want to take a nsaid aka motrin is it okay or will this cause a flare up? Which nsaids are safe?

Likely flare: Nsaid's are well know to flare uc. Check with your GI doctor. Some people can get away with limited amounts occasionally. ...Read more

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It's okay to use methotrexate to treat psoriatic arthritis when you also have gallbladder stones and severe attacks right?

It's okay to use methotrexate to treat psoriatic arthritis when you also have gallbladder stones and severe attacks right?

Yes: You mean want to use the injectable form rather than the oral form. Using it subcutaneously gives a better response with less risk of side effects. ...Read more

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Is it safe to use methotrexate to treat psoriatic arthritis when you also have gallbladder stones?

Is it safe to use methotrexate to treat psoriatic arthritis when you also have gallbladder stones?

Yes.: Because mtx suppresses the immune system, you would not give it to someone who has an infected gall bladder. Asymptomatic stones without infection or duct obstruction, where surgery is not recommended would be ok. Mtx can cause liver injury (chemocal hepatitis) but it doesn't affect the gall bladder. ...Read more

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Which pain medications are safe to use if I have kidney disease?

Tylenol (acetaminophen): If you have kidney disease, nsaids like alleve and Advil can further worsen your kidney disease or increase your blood pressure. Therefore these medicines should be avoided in patients with ckd. If you have pain, tylenol (acetaminophen) would be your safest option. ...Read more

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32yr old female, polycystic kidney disease. Safe to use diy detoxifying waters?

32yr old female, polycystic kidney disease. Safe to use diy detoxifying waters?

PCKD: I don't believe there are any good studies to support this. First...you need a good nephrologist. Polycystic kidney disease is monitored by ultrasound basically..and of course following BUN, creatinine and GFR. Reno-vascular HTN is treated so not to contribute to this. ...Read more

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Is it safe to take 5mg of Cialis for daily use for a man with stage 3 kidney disease?

Is it safe to take 5mg of Cialis for daily use for a man with stage 3 kidney disease?

Check with your doc.: This dose is appropriate for your degree of kidney dysfunction, however many people with chronic kidney disease also take medications that could have significant interactions with cialis. Also other disorders such as heart disease common in patients with kidney disease may limit your use of this medication. I urge you to check with your doctor to make sure that Cialis is safe for you. Take care. ...Read more

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End stage kidney disease(pkd). Recurrent infections since apr, 12. Been on levoflox 500 since then.Noticed redness of skin in the leg.Is the drug safe?

End stage kidney disease(pkd). Recurrent infections since apr, 12. Been on levoflox 500 since then.Noticed redness of skin in the leg.Is the drug safe?

PKD and levofloxacin: Levofloxacin is a good medication, though can have tendon side effects. Cipro (ciprofloxacin) and Levo are especially good for PKD associated infections. Redness of leg skin may reflect some edema -- is there evidence of rash on trunk or arms? ...Read more

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If I have kidney disease , and I have a very dry scalp, can I use apple cider vinegar, to help me ?

If I have kidney disease , and I have a very dry scalp, can I use apple cider vinegar, to help me ?

Sure: If your kidney disease upsets your stomach, the vinegar may make it worse. If you're expecting drinking the vinegar to help dry scalp, you're overly optimistic. Applying it topically might help -- your physician may have other suggestions. Apple cider vinegar is promoted as being good for everything, which itself should let you draw a reasonable conclusion. Still, it's interesting. ...Read more

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What pain medications can I take for gout when I have kidney disease?

What pain medications can I take for gout when I have kidney disease?

Prednisone: Prednisone can be taken or the affected joint can be aspirated and injected with cortisone. The ultimate treatment is to take a med to normalize the serum uric acid and prevent future attacks. With significant renal failure, uloric would be my drug of choice. ...Read more

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I have kidney disease, what otc med are safe for me, for my foot pain?

I have kidney disease, what otc med are safe for me, for my foot pain?

Avoid nsaids: Advil, (ibuprofen) motrion, naproxen are not good for kidney disease.These meds are known as NSAIDS.AVOID THESE.Consult your MD for meds that does not affect kidney function ...Read more

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If I have chronic kidney disease, do I need to take medication as well?

CKD medications: With all medical conditions medicine should only be used if absolutely neccesary, since all medicine has some risk of toxicity. In ckd meds can help, especially in more advanced stages or certain complications. Meds may be used for blood pressure control, renal protection, regulation of mineral metabolism, or help with anemia. But some patients can do great with careful diet and exercise alone. ...Read more

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Is a 20mg Cialis pill safe for a man with stage 3 kidney disease?

Is a 20mg Cialis pill safe for a man with stage 3 kidney disease?

Cialis in Stage 3: Yes, it is. See your nephrologist and he will tell you that the only absolute contraindication against taking drugs like Cialis is using nitrates. This is because nitrates lower blood pressure by vasodiliation. Kidney function, at any level, is not a problem taking drugs like cialis. ...Read more

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Is it safe to have another child after being diagnosed with chronic kidney disease?

Is it safe to have another child after being diagnosed with chronic kidney disease?

Yes: Your ability to get pregnant, as well as the outcomes of your pregnancy will depend on the extent of your ckd. Early stage ckd should not affect the outcomes, but you should see a nephrologist as part of your care. Be mindful that pregnancy itself can make your ckd worse. However, if you receive the right care, nothing should stop you from having a child. Even patients on dialysis have kids! ...Read more

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I have the beginning stages of kidney disease. is taking 50 mg of Viagra (sildenafil) safe?

I have the beginning stages of kidney disease. is taking 50 mg of Viagra (sildenafil) safe?

Here are some…: Taking Viagra (sildenafil) 50 or 100 mg is okay as long as being tolerable and without contraindication. More? Ask the prescribing doctor for specific details timely. ...Read more

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Why are patients with chronic kidney disease at higher risk for drug related complications?

Kidneys filter drugs: When Chronic kidney disease is diagnosed kidney function have already dwindled. One of the many functions of kidneys is to filters drugs and their metabolic products into urine and excrete them. When that function is compromised, complications arise frequently. ...Read more

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Is sparkling water safe to drink? Especially with people who have certain conditions such as a kidney disease?

Is sparkling water safe to drink? Especially with people who have certain conditions such as a kidney disease?

Sparkling water.: Should be OK. Only drink when u r thirsty. BP is likely related to eating too much salt for your body. How much is too much? Enough that your BP goes up. Recommend using the DASH DIET and you will be better in 2 weeks. ...Read more

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What kind of cooking oil is best for people with kidney disease? I use canola but im guessing it's not the best choice lol

What kind of cooking oil is best for people with kidney disease? I use canola but im guessing it's not the best choice lol

Olive, coconut and..: Olive oil is healthy for cooking at low temperature but is not healthy when exposed to high heat. For higher heat i recommend coconut oil, which has many health benefits and does well at high temperatures. Hi-oleic safflower oil is also good for high temperatures. See http://integrativemed.Kumc.Edu/school-of-medicine/integrative-medicine/health-topics/healthy-cooking-oils.Html for a good article. ...Read more

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Is it safe to get pregnant if I have a kidney disease?

Is it safe to get pregnant if I have a kidney disease?

Yes: There are many types of kidney disease, and many ranges of severity. Your nephrologist is crucial in getting your renal function stable, and your medications should be reviewed by your obstetrician. If you've had a kidney transplant, experts recommend waiting at least one to two years (depending on donor) before attempting pregnancy. Unfortunately, pregnancy is very rare in dialysis patients. ...Read more

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Is it normal to just stop taking your thyroid medication because you have kidney disease?

Is it normal to just stop taking your thyroid medication because you have kidney disease?

No: Hi. No, it's not. You need to talk with your doc and have the reason for stopping your thyroid explained to you, and the plan for moving ahead. Good luck! ...Read more

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With chronic kidney disease, is it safe to have a colonoscopy? The cleansing action is bad for the CKD ?

With chronic kidney disease, is it safe to have a colonoscopy? The cleansing action is bad for the CKD ?

Should not be: A problem but if you are that worried ask your nephrologist and gastroenterologist for their advice. ...Read more

Previous Kidney Disease (Definition)

Polycystic kidney disease is a kidney disorder passed down through families in which multiple cysts form on the kidneys, causing ...Read more


Dr. Tarek Naguib
2,401 doctors shared insights