Watch Out For Your Kidneys When You Use Medicines For Pain
What do you do if you have a headache, fever, or muscle pain? Chances are you go to the local drug store to pick up an overthecounter pain medicine. These drugs are the medicines most often used by Americans. Pain medicines, also called analgesics, help relieve pain, fever, and even inflammation. These medicines may help with arthritis, colds, headache , muscle aches, menstrual cramps, sinusitis and toothache.
These drugs are effective and usually safe. However, it is important to realize that no medicine is completely without risk. They should be used carefully. When used improperly, pain medicines can cause problems in the body, including the kidneys. According to the National Kidney Foundation, as many as 3 percent to 5 percent of new cases of chronic kidney failure each year may be caused by the overuse of these painkillers. Once kidney disease occurs, continued use of the problem drug makes it worse.
Nonprescription pain medicines should not be used without your doctors permission if you know you have low kidney function. Also, even if your kidney function is good, longterm use with high doses of these pain drugs may harm the kidneys. Kidney damage happens because high doses of the drugs have a harmful effect on kidney tissue and structures. These drugs can also reduce the blood flow to the kidney. If you are older, your kidneys may have a stronger reaction to these medicines and you may need a smaller dose.
Coverage And Cost Comparison Of Acetaminophen Vs Ibuprofen
Acetaminophen can be purchased over the counter and is available in generic and branded forms. Medicare and most insurance plans may not cover acetaminophen because of its widespread availability without a prescription. The average cash price for generic acetaminophen can be as high as $11.99. By using a SingleCare discount card, you can save more and bring the cost down to about $2 for a bottle of generic acetaminophen.
In general, Medicare and most insurance plans will cover ibuprofen. Ibuprofen is available as a generic or brand-name drug. The usual cash price for ibuprofen is around $15. This cost can be reduced by using a SingleCare coupon. Depending on the pharmacy you use, the cost can be lowered to around $4 for a bottle of 200 mg ibuprofen.
Nsaids Are Bad For Your Blood Pressure
NSAIDs can cause high blood pressure. And if you have high blood pressure, they can make it worse. This increases your chances of having a heart attack or a stroke.
NSAIDs can also keep some blood pressure drugs from working right. NSAIDs can interfere with:
- Diuretics, or water pills, such as Hydrodiuril . Diuretics remove excess water from the blood vessels.
- ACE inhibitors, such as Prinivil and Zestril . ACE inhibitors are drugs that relax the blood vessels.
- ARBs such as Cozaar . ARBs are another group of drugs that relax the blood vessels.
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Does Meloxicam Have More Side Effects Than Ibuprofen
Because meloxicam and ibuprofen are both NSAIDs, they have similar side effects, which may include abdominal pain, constipation, diarrhea, heartburn, nausea, tinnitus, and a rash.
All NSAIDs carry a risk of cardiovascular disease, including an increased risk for blood clots, stroke, or a heart attack; however, the risk with meloxicam appears higher than with ibuprofen .
Meloxicam is also more likely than ibuprofen to cause gastrointestinal disturbances, such as gastric bleeding and ulceration. Consuming more than three alcoholic beverages per day while taking any NSAID increases the risk of GI disturbances.
Ibuprofen Could Impact Liver Health
A new study in mice suggests that ibuprofen, perhaps the most common pain relief medication, could affect aspects of liver health.
Ibuprofen is a common nonsteroidal anti-inflammatory drug . In the United States, drugstores tend to sell the brand-name versions Motrin or Advil.
In the U.S. and other countries, ibuprofen is readily available over the counter. People tend to use it to relieve pain or the symptoms of a mild cold.
Like any other drug, ibuprofen can have side effects. One of them is liver damage, though this is rare.
And now, a new study in mice from researchers at the University of California, Davis suggests that ibuprofens adverse effect on liver health may be more significant than doctors suspect.
The liver plays a key role in energy metabolism and is essential for whole-body homeostasis via the regulation of glucose, lipid, and amino acid metabolism, the researchers explain in their study paper, which appears in Scientific Reports .
The liver is the bodys key filter, processing elements of everything we ingest, including drugs. As a result, medication can have unintended
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What’s The Difference Between Tylenol And Aspirin
“The Healthy Geezer” answers questions about health and aging in his weekly column.
Question: What is the difference between Tylenol and aspirin?
Answer: Acetaminophen is the most widely used pain-reliever and fever-reducer in the world. It is contained in more than 100 products.
Tylenol is the best known over-the-counter acetaminophen product. It is also a component of well-known prescription drugs such as Darvocet and Percocet. Acetaminophen also is known as paracetamol and N-acetyl-p-aminophenol .
There are basically two types of OTC pain relievers. Some contain acetaminophen, which is processed in the liver. Others contain non-steroidal anti-inflammatory drugs , which are processed elsewhere. Examples of OTC NSAIDs are aspirin, ibuprofen and naproxen sodium .
Taking too much acetaminophen can lead to liver damage. The risk for liver damage may be increased if you drink three or more alcoholic drinks while using medicines that contain acetaminophen.
Acetaminophen is one of the most common pharmaceutical agents involved in overdose, as reported to the American Association of Poison Control Centers.
NSAIDs are associated with stomach distress. You should talk to your doctor before using NSAIDS if you are over 60, taking prescription blood thinners, or have stomach ulcers or other bleeding problems.
It’s a good idea for all older adults to consult their doctors before taking any OTC medication.
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Side Effects Of Tandrilax
Tandrilax is a medication available in South America. Each tablet contains 125 mg of carisoprodol, 50 mg of diclofenac sodium, 300 mg of paracetamol and 30 mg of caffeine 1. Carisprodol is a muscle relaxant, diclofenac sodium is a non-steroid anti-inflammatory and paramecatol is a generic term for acetaminophen. According to the product monograph, Tandrilax is prescribed for pain and inflammation due to infection, arthritis, surgery or injury. Since this medication is a combination of four drugs, side effects can arise from any one or a combination of the ingredients.
If you are experiencing serious medical symptoms, seek emergency treatment immediately.
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Ibuprofen Metabolized By Liver Or Kidney
and is normally filtered through the kidneys andIbuprofen is rapidly metabolized and eliminated in the urine, randomized, and sulindac in patients with asymptomatic renal failure: a prospective, The next time you reach for ibuprofen, Inactivation, randomized, it makes it to the point where it is needed in a usable form.After that, you will be able to make a more informed decision.
What Are The Main Differences Between Acetaminophen And Ibuprofen
Acetaminophen also known by the brand name Tylenolis an analgesic and antipyretic medication. The exact way in which acetaminophen works is unknown, but it is believed to be a weak inhibitor of the COX enzyme, which is responsible for producing prostaglandins. It may also work in the central nervous system to relieve pain and fever. Unlike NSAIDs, acetaminophen does not work as well for inflammatory conditions like osteoarthritis and rheumatoid arthritis.
Ibuprofen is an NSAID that can be used for pain, fever, and inflammation. Common brand names of ibuprofen include Motrin and Advil. Unlike acetaminophen, ibuprofen is a nonselective COX enzyme inhibitor that can reduce pain and inflammation from arthritis and joint pain. Because of its effects on the COX-1 enzyme, ibuprofen may also have adverse gastrointestinal effects.
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What Analgesics Are Safe For People Who Have Kidney Disease
Acetaminophen is the drug often recommended for occasional use in patients with kidney disease. But everyone with kidney disease should rely on their doctor or other health care professional for a personal recommendation. It is important to know that any drug can be harmful if used at high doses or very frequently. People with kidney disease should also be sure to avoid drinking alcohol while taking pain medicines.
What Is Bad Or Safe For Your Liver
Ibuprofen and other NSAIDS seldom affect the liver. Unlike acetaminophen most NSAIDs are absorbed entirely and have minimal first-pass hepatic metabolism. To puts it simply, the way NSAIDS are metabolized makes liver toxicity really rare. Quotes are that 1 in 100,000 NSAID prescriptions result in severe liver injury. Normally NSAIDs are extremely liver-safe.
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What Acetaminophen And Ibuprofen Are Best Suited For
Both ibuprofen and acetaminophen are anti-pyretic . However, some studies indicate that ibuprofen has a slight edge in this area.
Ibuprofen is also better for certain types of pain and inflammation back pain, menstrual cramps, sore muscles, toothaches and earaches. A review published in the British Medical Journal concluded that:
- paracetamol is ineffective in reducing pain and disability or improving quality of life in patients with low back pain.
- paracetamol offers a small but not clinically important benefit for pain and disability reduction in patients with hip or knee osteoarthritis
- patients taking paracetamol are nearly four times more likely to have abnormal results on liver function tests compared with those taking oral placebo
Tylenol is preferred for headaches and arthritis pain.
Is Ibuprofen Bad For My Kidneys
While NSAIDs rarely affect the liver, they have important adverse effects on the kidney that you should know about. Here is the science behind the problem. Ibuprofen and other NSAIDs block prostaglandins, natural body chemicals that normally dilate blood vessels leading to the kidneys. Blocking prostaglandins may lead to decreased blood flow to the kidneys, which means a lack of oxygen to keep the kidneys alive. That can cause acute kidney injury.
A simple blood test may show a rise in creatinine if your kidneys are being affected, usually seen within the first three to seven days of NSAID therapy. Acute kidney injury can occur with any NSAID, though naproxen seems to be a bigger culprit. In one study, folks who took NSAIDs had twice the risk of acute kidney injury within 30 days of starting to take the NSAIDs. Good news is its reversible if you stop taking them.
Who is at risk? In people with high blood pressure, taking NSAIDs long-term may worsen underlying high blood pressure. Also, people with existing kidney problems more often get in trouble with NSAIDs. Regardless, if you are taking ibuprofen for long periods of time, its not a bad idea to have a check of your kidney function with a quick blood test. Remember, acute kidney injury from NSAIDs doesnt cause any symptoms.
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Is Ibuprofen Metabolized In The Kidney
Heavy or long-term use of some of these medicines, such as ibuprofen, naproxen, and higher dose aspirin, can cause chronic kidney disease known as chronic interstitial nephritis. If you have decreased kidney function, painkillers called NSAIDs and higher dose aspirin are not recommended.
Secondly, what pain relievers are safe for kidneys? Over-the-counter Tylenol is often the best choice for people with high blood pressure, heart failure, or kidney problems. However, high doses of Tylenol can damage the liver, so take the lowest dose you can to get enough pain relief. Never take more than 4,000 milligrams a day.
Accordingly, is ibuprofen metabolized in the liver or kidneys?
Ibuprofen and other NSAIDs rarely affect the liver. Unlike acetaminophen , most NSAIDs are absorbed completely and undergo negligible liver metabolism. In other words, the way NSAIDs are metabolized makes liver injury very rare. Generally, NSAIDs are very liver-safe.
Is Tylenol metabolized in the liver or kidneys?
No. Tylenol is broken down/metabolized almost completely by the liver, so the kidneys hardly do any of the work and are not affected by it. Acetaminophen is safe on the kidneys.
Is It Ok To Take 1 Ibuprofen Every Day
The usual dose for adults is one or two 200mg tablets 3 times a day. In some cases, your doctor may prescribe a higher dose of up to 600mg to take 4 times a day if needed. This should only happen under supervision of a doctor. If you take ibuprofen 3 times a day, leave at least 6 hours between doses.
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How Does Ibuprofen Or Acetaminophen Affect To Kidney
NSAIDs have important unfavorable effects on the kidney that you should know about.
Here is the science behind the issue. Ibuprofen and other NSAIDs hinder prostaglandins, and that can cause an issue due to the fact that prostaglandins dilate capillary resulting in the kidneys, according to iytmed.com. Preventing prostaglandins may result in kidney anemia and therefore severe kidney injury.
A simple blood test might show a rise in creatinine if your kidneys are being affected, typically seen within the first 3 to seven days of NSAID therapy. Severe kidney injury can occur with any NSAID though naproxen appears to be a bigger culprit. In one study, folks who took NSAIDs had twice the risk of acute kidney injury within 30 days of starting to take the NSAIDs. Good news is its reversible if you stop taking them.
In individuals with hypertension, taking NSAIDs long term may aggravate underlying hypertension. Individuals with kidney problems at baseline regularly get in difficulty with NSAIDs, however if you are taking ibuprofen for extended periods of time its not a bad idea to have a check of your kidney function with a quick blood test. Keep in mind, intense kidney injury from NSAIDs does not cause any symptoms.
NSAIDs are safe for the liver, but can cause a problem with kidney function that is reversible if you stop taking them. Typically safe but worth taking notice of.
What Drugs Interact With Acetaminophen Vs Ibuprofen
Acetaminophen drug interactions
Acetaminophen is metabolized by the liver. Therefore drugs that increase the action of liver enzymes that metabolize acetaminophen, for example, carbamazepine , isoniazid, rifampin , reduce the levels of acetaminophen and may decrease the effectiveness action of acetaminophen.
Doses of acetaminophen greater than the recommended doses are toxic to the liver and may result in severe liver damage. The potential for acetaminophen to harm the liver is increased when it is combined with alcohol or drugs that also harm the liver.
Acetaminophen doses greater than 2275 mg per day may increase the blood thinning effect of warfarin by an unknown mechanism. Therefore, prolonged administration or large doses of acetaminophen should be avoided during warfarin therapy.
Ibuprofen drug interactions
Ibuprofen is associated with several suspected or probable interactions that can affect the action of other drugs.
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Advil Vs Tylenol Liver Damage Risk: Symptoms Of Ibuprofen And Acetaminophen Overdose
Most things in life are about balance and moderation, and pain killers are no different. While Advil, Motrin and Tylenol offer relief when youve tweaked your neck or have a fever, taking too much of these;medications can have serious health consequences, one of which is liver damage. But;how much exactly is too much?
Acetaminophen, the active ingredient in Tylenol, is the one most closely linked to liver problems. The U.S. Food and Drug Administration;warns against using higher than the recommended dose, even in the short-term;;using more than one product containing the drug; or combining the drug with alcohol. FDA believes that consumers need to know that these products can cause serious side effects, such as severe liver injury and stomach bleeding, when used improperly. The maximum safe dose of extra strength Tylenol for adults, as per the companys website, is 3,000 milligrams per day, or six pills. Thats lower than it used to be Tylenol explains;that the old dosage limit was 4,000 milligrams a day, and that it now recommends taking only two pills every six hours, when previously it said four to six hours.
Liver damage caused by Tylenol overdose could turn the skin yellow, a condition called jaundice.Image courtesy of Pixabay, public domain
To avoid liver damage associated with any pain reliever, the FDA;advises following recommended dosage guidelines.
Whats The Safest Otc Painkiller For An Older Parent
For most older adults, the safest oral OTC painkiller for daily or frequent use is acetaminophen , provided you are careful to not exceed a total dose of 3,000mg per day.
Acetaminophen is usually called paracetamol outside the U.S.
It is processed by the liver and in high doses can cause serious sometimes even life-threatening liver injury. So if an older person has a history of alcohol abuse or chronic liver disease, then an even lower daily limit will be needed, and I would strongly advise you to;talk to a doctor about what daily limit might be suitable.
The tricky thing with acetaminophen is that its actually included in lots of different over-the-counter medications and prescription medications . So people can easily end up taking more daily acetaminophen than they realize. This can indeed be dangerous; research suggests that 40% of acetaminophen overdoses cases are accidental.
But when taken at recommended doses, acetaminophen has surprisingly few side-effects and rarely harms older adults. Unlike non-steroidal anti-inflammatory drugs , it does not put older adults at risk of internal bleeding, and it seems to have minimal impacts on kidney function and cardiovascular risk.
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