According to the National Institutes of Health, over 37 million Americans are affected by chronic kidney disease (CKD). And Black Americans are more likely to develop CKD than non-Hispanic white Americans. Studies also show this condition is more common in older adults than in people ages 45 to 64.
We depend on our kidneys to remove extra fluid and waste from our blood. But if you have CKD, your kidneys may not work as well as they should. Over time, CKD can worsen and develop into kidney failure. People who have kidney failure depend on dialysis to help filter their blood.
Most medications are removed from your body through the kidneys. So, if you have CKD, it’s essential to know which medications are safe for you to take. It’s common to take over-the-counter (OTC) medications and supplements. But it’s also important to talk with your healthcare provider or pharmacist to help you determine which OTCs and supplements are best for you.
Below are some medication tips for people with CKD.
Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)
These medications help decrease pain and swelling (inflammation) and reduce fever. NSAIDs are generally safe and effective when used short-term — no more than ten days for pain or three days for fever. You must also take the recommended dose as listed on the manufacturer’s label. Taking NSAIDs at higher doses and for more extended periods can increase your risk of kidney damage.
Be sure to talk with your healthcare provider if you have pain or swelling that doesn’t disappear after a few days. Together, you can determine safer options to help manage your condition and protect your kidneys.
Examples of OTC NSAIDs include Ibuprofen (Advil, Motrin) and Naproxen (Aleve).
Antacids
People take antacids to help treat heartburn, problems with digestion (indigestion), and upset stomach. These medications are also found in your local pharmacy and should be taken for no more than 1 to 2 weeks. Long-term use of antacids in people with chronic kidney disease can cause elevated levels of aluminum and magnesium in your body. This is due to the decreased ability of your kidneys to filter your blood.
Examples of Antacids include aluminum hydroxide/magnesium hydroxide/simethicone (Maalox, Mylanta)
Herbal Supplements
Herbal supplements may be taken for various conditions but aren’t FDA-regulated like most medications. So, if you have kidney problems, talk with your healthcare provider to help you determine which supplements are most appropriate for you. According to the National Kidney Foundation, people with chronic kidney disease should avoid certain supplements. These include (but are not limited to):
- Cat’s Claw
- Creatine
- Goldenrod
- Â Java Tea Leaf
- Â Licorice Root
- Yohimbe
