Kidney failure patients should take their medicines as prescribed to help lower their blood pressure, cholesterol, and control their blood sugar levels. There are two types of kidney failure medicines which have been shown to help slow the progression of kidney disease, and delay kidney failure. They are ACE Inhibitors and ARB II Blockers. Many kidney patients need to take at least two medicines to help control their blood pressure. They may also need to take a diuretic, or a ‘water pill’ to help meet their blood pressure goals. These medicines work better if the patient controls his or her daily salt intake.
Those people with kidney failure will have their medicines adjusted periodically because the kidneys don’t filter blood as well as kidney disease worsens. The result can be an unsafe buildup of medicines in their blood, and some of the medicines are very strong and can actually harm the kidneys if taken in very large doses. Their health care providers may tell them to stop taking a medicine less often, or to take a smaller dosage over time. These patients may also be told to stop taking some medicines altogether, or to take other medicines over time. Patients need to inform their pharmacists and health care providers about all of the medicines they take including over the counter medicines, vitamins, and supplements.
If kidney failure patients decide to take over the counter medicines, they must exercise extreme caution while doing so because they can belong to the NSAID category and can damage their kidneys further, and even cause acute kidney injury, especially for those already suffering from high blood pressure, kidney disease, and diabetes.