With CKD is it safe to take Ambien or Tramadol? What drugs should I avoid?

I have used Ambien (zolpidem) and Ultram (tramadol) in patients with chronic kidney disease, but I would caution that these need to be reviewed by your primary care physician as well.  There are drug interactions that occur between Ambien and Tramadol and these drug interactions may also occur between these drugs and other drugs that you are taking.  Hence, I recommend caution until reviewed by your physician in this regard.  You should absolutely avoid taking any non-steroidal anti-inflammatory drugs (NSAID’s) such as Motrin, Ibuprofen, Aleve, Advil or Naproxen.

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