Are all the medications safe for a kidney patient?

Are all the medications safe for a kidney patient?

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: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.