Are all the medications safe for a kidney patient?
Are all the medications safe for a kidney patient?
:The medications
that prescribed by your physician can be divided into three main divisions
i.
Safe
drugs: this group of medications are completely safe that means they can be
used with the same dose given to a normal person without any change.
ii.
Unsafe
drugs: this type of medications is completely contraindicated for a kidney
patient that means their use will result in complete destruction of by these
agents to the kidney tissues. The best example of these are the group analgesic
medications certain antibiotics. The harm of this group could be either:
1)
Direct
toxicity to the kidney tissues or,
2)
Indirect
toxicity through retention of the drug due to failure of its removal from blood
by the kidney purification system.
iii.
Intermediate
group: that can be used partially through dose reduction. The latter maneuver
depends on how much the kidney is failing i.e., Spacing and reduction of dose
timing and magnitude will depend on the degree of renal failure severity, the
much more sever the kidney failure the more space between drug dosage
consumption will be and the smaller the amount of a given drug.
-
However,
this piece of information will result in several recommendations:
1) You need to evaluate your kidney function serially through
laboratory checkup of your renal profile to determine which stage you are in
and recognize the best maneuver you should follow.
2) Avoid intake of unnecessary medications.
3) Avoid intake of any medication without your physician consultation.
4) Revise your nephrologist after any visit to other specialty.
5) Consult your nephrologist before any medical/surgical intervention
or surgical or radiological technique.
6) Avoid radiological examination with dye contrast.
7) If mandatory, certain precautions should be followed before and
after these maneuvers with enough time.
8) Repeat your renal profile on a daily basis immediately after these
intervention to make sure that no harm or progress in your kidney function has
been developed and to take the proper action in the meantime.
9) Finally, adherence to your physician, compliance with you
medications and serial evaluation of your kidney function are the only
guarantee to keep yourself away from dialysis as much as possible.
I am a nephrology consultant with M.D. degree in nephrology and renal
transplantation. I am interested in clarification the vital points in
nephrology practice in regard to kidney patient care, follow up and prevention
of renal failure as well as improving quality of life. There are may options
for kidney patients i.e. conservative treatment, kidney dialysis and kidney
transplant. Helping the patients to choose the best therapeutic option and clarification of the best therapeutic
guidelines are my main targets in this blogger. Many questions about
complications of kidney failure, medication use, types of nutrition and patient
survival are currently running in patient’s mind. The magnitude of psychological
stress that exerted on kidney patients once he knew that his kidney in danger
lead me to proceed in declaring the nature of kidney disease and the best
maneuvers to manage its complications. Many unnoticed ordinary habits like
analgesic abuse can cause serious depression of kidney function. As there are
several options to manage kidney failure, we need to determine the best
therapeutic option to control the rate of kidney function deterioration. I am
ready to answer any question related to my specialty. The responsibility of
preservation of kidney- one of the most vital organs- is not confined to the
medical staff. Nevertheless, patients education is a fundamental step in renal
disease management. Patient adherence to his clinician is mandatory in this
regard. Strict compliance to his medications, laboratory profiles testing and
physician orders is the cornerstone in
stabilization of kidney function. Efforts still going to introduce a novel
solution for a failing kidney. Kidney transplant using a new regimens of
immunosuppression and stem-cell transplantation are the best examples. I will
be happy expand your data base in regard to early detection of your kidney
dysfunction and offer the best available instructions to keep your kidney safe and healthy.