Category Archives: Medication and Kidney Function

I was recently diagnosed with stage 3 CKD. My GFR is 42.2 and my creatinine is 1.24. Everybody tells me what not to do but are there things I can actually do to raise my numbers?

The nature of chronic kidney disease (CKD) is to cause the destruction of kidney filters known as glomeruli. There are no treatments that directly cause the kidney to build new filters (glomeruli). Once a kidney has been damaged and the … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diabetes, Diet/Nutrition, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Medication and Kidney Function

Is it safe to take Tylenol with Codine, low dose aspirin or extra strenth Tylenol for pain?

Yes. In patients with chronic kidney disease (CKD), Tylenol (acetaminophen), codeine, and aspirin can generally be safe. I do suggest that you check with your physician about taking these medications safely with other medications you may be taking.

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney-Related Health Questions, Medication and Kidney Function

Just listening to nephrologists podcasts and reading a lot! I have high BP (3 meds) that is not well controlled at all, I’m reading ACE inhibitors are a MUST! I’ve never been prescribed one. My potassium is well within normal limits, I stopped all salt a long time ago, my weight is excellent…my question is why haven’t I been prescribed an ace inhibitor to help control my BP? Also, my PCP refuses to raise or change my diabetes meds! My blood sugar is very high (often 300) I’m on a minimal dosage of Januvia 25 mg once daily. Why? I feel I’m the only one on my Renal team doing anything to slow the progression of my CKD. I’ve been seeing a nephrologist for years…she does nothing more than labs! I’m vegetarian, watch phosphorous, low carbs, no alcohol ever etc. Please advise.

I am not able to answer your questions about your current medical care. I suggest that you review your concerns with your physicians. I find patient advocacy is very helpful in seeking answers to your questions about your current medical … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney-Related Health Questions, Medication and Kidney Disease, Medication and Kidney Function

Is it safe for someone with stage 3B kidney failure, hypertension, irregular heart rate and type 2 diabetes to take Pepcid for reflux? I had taken Prilosec for 20 years and it worked but when my CKD became worse and I was referred to a nephrologist he stopped the Prilosec. My reflux has been a big problem since stopping the Prilosec and the gastroenterologist suggested Ranitidine 150 mg twice a day but after taking that faithfully for 8 weeks that did not help the reflux. Today she left a message suggesting that I try Pepcid 20 mg OTC twice a day but said I should check with my nephrologist first. Guess what? My nephrologist is out of the country and it is Friday evening so no one is answering the phone there except for emergencies so I am hoping you can help me. I also have an irregular heart rate and take Digoxin daily along with lots of blood pressure medications (Epelerenone 100 mg, Cardura 6 mg spread over three doses per day, Candesartan 32 mg), so I’m afraid to just take the Pepcid without some advice. I am leary of OTC drugs but need some help with this reflux problem. Thank you.

Famotidine (Pepcid) is a stomach acid suppressing drug similar to Ranitidine and is generally safe for patients with chronic kidney disease (CKD). Pepcid should not interfere with any of the drugs you list.  

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney-Related Health Questions, Medication and Kidney Function

Is Levaquin safe to give a ckd stage 3 patient?

The dose of Levofloxacin (Levoquin) may have to be reviewed in patients with chronic kidney disease (CKD) but it is commonly used for patients with CKD. I suggest you review this with your primary care physician (PCP).

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney-Related Health Questions, Medication and Kidney Function

My cardiologist suggested that I be given Clindamycin (600) and Gentamycin (80) during a colonoscopy in case polyps needed to be removed. Is this safe for my transplanted kidney?

A single dose of these medications are safe for your transplanted kidney. These antibiotics are used for prophylaxis of bacterial endocarditis in patients with valvular heart disease.

Posted in Ask the Doctor, Kidney-Related Health Questions, Medication and Kidney Function, Transplantation

SGL2 related sugar, most of time in urine as a permanent thing; can this damage the kidneys in the long run?

I will assume you are asking about Sodium Glucose Cotransport 2 (SGLT2) inhibitors as a treatment for Type 2 diabetes mellitus. These drugs decrease the re-absorption of glucose by the kidney tubules and result in the loss of glucose out … Continue reading

Posted in Ask the Doctor, Diabetes, Kidney-Related Health Questions, Medication and Kidney Disease, Medication and Kidney Function

What OTC anti-inflammatory meds are safe and can be used instead of NSAIDs with 3rd stage CKD? Thank you!

Tylenol (acetaminophen) in doses less than 3000 milligrams per day is safe for patients with chronic kidney disease (CKD). I also encourage the use of topical pain rubs and sports creams to relieve pain. Low doses of aspirin can also … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney-Related Health Questions, Medication and Kidney Function

Is it ok to take Xyzal for allergies if I have kidney disease? Stage 2.

Xyzal (Levocetirizine) has been safely used in patients with chronic kidney disease (CKD). I would recommend that you review this medication with your primary care physician (PCP) in order to make sure that it does not interact with any of … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney-Related Health Questions, Medication and Kidney Function

Is Zyrtec and Mucinex/DM safe.

Yes, Zyrtec (Cetirizine) and Mucinex DM are both used safely in patients with chronic kidney disease (CKD). I do recommend that you discuss your use of these over the counter medications with your physician to make sure they do not … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney-Related Health Questions, Medication and Kidney Function