What Is The Treatment For Analgesic Nephropathy
Your healthcare provider will figure out the best treatment based on:
- How old you are
- Your overall health and past health
- How sick you are
- How well you can handle specific medicines, procedures, or therapies
- How long the condition is expected to last
- Your opinion or preference
- Stopping all pain killers you have been taking, especially OTC medicines
- Dietary changes
- Behavioral changes or counseling to help control chronic pain
Treatment aims to prevent any further kidney damage, and treat any existing kidney failure.
Tylenol Vs Ibuprofen For Back Pain
So which is better for back pain: Acetaminophen or an NSAID ?
As you can see from this article, NSAIDs such as ibuprofen or naproxen are more effective than acetaminophen for low back pain. This is in part due to the fact that NSAIDs can reduce inflammation in your lower back, whereas Tylenol does not.
However, if you have medical reasons that put you at risk of side effects with NSAIDs , you should try Tylenol instead. Tylenol is generally safe. Do not take Tylenol with alcohol and avoid it if you have liver disease.
After an injury, make sure to rest and ice your back for a few days. If that is not enough, use ibuprofen or naproxen. If you have chronic low back pain, check out this article: 6 Best Exercises for Low Back Pain.
What Are Nsaids Are They Safe To Take
Nonsteroidal anti-inflammatory drugs are a specific group of pain relievers. Some NSAIDs are available over the counter. This includes different brands of ibuprofen, naproxen sodium and ketoprofen.
NSAIDs are usually safe for occasional use when taken as directed, but if you have known decreased kidney function, they should be avoided. These medications should only be used under a doctor’s care by patients with kidney disease, heart disease, high blood pressure or liver disease or by people who are over 65 or who take diuretic medications. NSAIDs may cause an increased risk of sudden kidney failure and even progressive kidney damage.
Don’t Miss: Is Pomegranate Juice Good For Kidney Stones
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.
Whats The Difference Between Tylenol And Aspirin
âThe Healthy Geezerâ 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.
Itâs a good idea for all older adults to consult their doctors before taking any OTC medication.
More from the Healthy Geezer:
Also Check: Is Watermelon Bad For Kidneys
Are Ibuprofen And Acetaminophen The Same Thing
Tylenol and Motrin are pain relievers and fever reducers used for treating pain and fever associated with many conditions.
Motrin is also used to treat inflammatory conditions such as arthritis.
The drugs belong to different drug classes. Tylenol is an analgesic and antipyretic and Motrin is a nonsteroidal anti-inflammatory drug .
Side effects of Tylenol and Motrin that are similar include nausea, stomach pain, skinitching or rash, and headache.
Key Points About Analgesic Nephropathy
- Long term use of pain killers can cause damage to the kidneys. This includes over-the-counter and prescription pills.
- This condition is most common in people older than 45 years of age, and more prevalent in women over 30.
- Often there are no symptoms. It may be found on routine blood or urine tests.
- Symptoms are related to the build-up of toxins and waste products that are normally filtered by the kidneys.
- Analgesic nephropathy can lead to acute kidney failure, cancer, or atherosclerosis in later stages.
You May Like: Does Red Wine Cause Kidney Stones
Should I Take Tylenol Advil Or Aspirin
When I work as a pharmacist in a retail pharmacy, I get a lot of questions from customers on which painkiller is best for them. Unfortunately, the answer is usually not black and white: it really depends on their medical conditions. Thats why pharmacists are here to recommend products using their professional judgment. Thank god the BC provincial bylaw states that a retail pharmacy must not be open for business unless a pharmacist is in the pharmacy. Consumers can take advantage of having a pharmacist to recommend painkillers for them.
However, some non-prescription painkillers, such as Tylenol, Advil and Aspirin are also available in non-pharmacy settings. Moreover, say when youre in pain in the middle of the night, you may just want to take a painkiller from your medicine cabinet, or find one in a convenience store nearby ASAP. What should you do then?This article will serve as a guideline for consumers to know what medications they can take for pain relief, and also the difference among the non-prescription painkillers available on the market.
I would like to start off with a case scenario here:
Dont fret if you cant answer the question right now. After reading this article, youll be able to answer this without the help of a pharmacist.
What are the non-prescription painkillers available on the market? Tylenol, Advil, Motrin, and Aspirin thats it! So, what are the differences among them? Ill now discuss their characteristics one by one.
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.
Don’t Miss: Does Carbonated Water Cause Kidney Stones
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.
Why Is Advil Bad For Your Kidneys If It Is Processed By The Liver And Tylenol Not So Harmful When I
- 10 Jan 2014 by Twfinklea
Advil, Excedrin, and Motrin have Ibuprofen in them. Aspirin and Ibuprofen are not good for people with kidney disease. I have Chronic Kidney Disease Stage 3, and aspirin caused me to go into Acute Renal Failure. My Nephrologist told me, NO aspirin, NO ibuprofen. Advil and Excedrin were the only thing that helped me with headaches or arthritis pain and it has been very hard for me to stick to Tylenol. You can be sure if you take too much Tylenol, it can also cause issues with the kidneys, so I take 1/2 the dose of 500 mg. Drinking lots of water has helped more than anything. Most people don’t take medication with a full glass of water. Just a sip will do they think. But to protect your body parts, use lots of water.Hope this helps.
You May Like: Is Grape Juice Good For Kidney Stones
And Take Advil Instead Of Tylenol If You’re Dealing With Any Pain Associated With Inflammation
If your pain is due to inflammation, then Advil is “the better choice” because it is a NSAID, Poston explains. Jessica Nouhavandi, PharmD, lead pharmacist and founder of online pharmacy Honeybee Health, says that Tylenol doesn’t help with inflammation pain because “it does not have that anti-inflammatory effect.”
“Advil blocks the production of chemicals in the body that contribute to pain and inflammationso whenever there is redness, swelling, heat, or pain at a site,” says Oz. “This makes it ideal for most back and neck pain, toothache, muscle sprains and strains, and menstrual cramps.” And for more health advice, If You Drink This, You Could Become Resistant to Antibiotics, Study Says.
What To Do If You Have Heart Problems Or Kidney Disease
When people have pain, they often take pain medicines called NSAIDs . These include:
- Advil and Motrin . Ibuprofen is also in other over-the-counter drugs, such as cold medicines.
- Aleve .
- Celebrex .
NSAIDs help ease pain and inflammation. But if you have high blood pressure, heart failure, or kidney disease, you should not take an NSAID. And you should not take any drugs that have ibuprofen or another NSAID in them. Heres why:
Read Also: Is Grape Juice Good For Kidney Stones
Is Ibuprofen Bad For Kidneys
Everyone experiences pain, and consequently, painkillers have become a part of everyday life. And although many people assume that over-the-counter pain relievers are safe because theyre easily accessible, abusing these medications can cause serious health problems down the line. Some common medications like ibuprofen and naproxen are known to even cause kidney problems. But how is ibuprofen bad for kidneys when so many people rely on this medication to manage pain? Keep reading to learn more about safe ibuprofen usage.
What Kidney Pain Medication Should I Be Taking
It is important to note that the kidney doctor doesnt write for the pain medicine. The kidney doctor performs a risk/benefit analysis with the patient so that the patient can make informed decisions regarding what to do. Some people are willing to risk worsening kidney function and hypertension in order to have their pain and inflammation treated. In that case the nephrologist will try to help prevent worsening kidney function and high blood pressure at all costs. On the other hand, some people may want to avoid blood pressure and kidney problems and choose Tylenol .
When I was training, we were taught to avoid nonsteroidal medication at all costs when the blood pressure or the kidneys were affected. However, my problem with this is that a life of severe pain may be so intolerable that the risk of kidney decline may be something to consider if a patient can get some relief.
Original post date: May 2010. Revised: May 2019.
Don’t Miss: Can A Kidney Infection Cause Diarrhea
Nsaids Are Bad For Your Heart And Kidneys
Long-term use of NSAIDs can make your body hold onto fluid. This can make the symptoms of heart failure, such as shortness of breath, swollen ankles, and a rapid or irregular heartbeat, worse. NSAIDs can also keep the kidneys from working well. This makes taking NSAIDs risky for people who already have kidney disease.
Is Ibuprofen Better For Your Kidneys Than Aleve
Ask U.S. doctors your own question and get educational, text answers â it’s anonymous and free!
Ask U.S. doctors your own question and get educational, text answers â it’s anonymous and free!
HealthTap doctors are based in the U.S., board certified, and available by text or video.
Don’t Miss: Can You Have 4 Kidneys
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.
Take Tylenol Instead Of Advil If You Have A Fever
Both Advil and Tylenol work to reduce a fever, but you may want to still choose Tylenol when dealing with this symptom. Advil is a non-steroidal anti-inflammatory drug , which directly targets pain caused by inflammation. So when you’re dealing with a non-inflammatory issue, like reducing a fever, “Tylenol is probably your better choice,” Poston says. And for medications to hold back on, If You’re Taking This OTC Medicine More Than Twice a Week, See a Doctor.
Don’t Miss: Is Mio Bad For Your Kidneys
Are Nsaids Safe To Take If You Have Kidney Disease
NSAIDs are usually safe for occasional use when taken as directed. However, if your doctor has told you that you have low kidney function, NSAIDs might not be right for you. These medications should only be used under a doctor’s care by patients with kidney disease. Also, they might not be the best choice for people with heart disease, high blood pressure or liver disease. Some of these drugs affect blood pressure control. High doses over a long period of time can also lead to chronic kidney disease and even progress to kidney failure.
For people without kidney disease, the recommended dose of aspirin can be safe if you read the label and follow the directions. When taken as directed, regular use of aspirin does not seem to increase the risk of kidney disease in people who have normal kidney function. However, taking doses that are too large may temporarily and possibly permanently reduce kidney function. In people with kidney disease, aspirin may increase the tendency to bleed.
Take Tylenol Instead Of Advil When You Have Stomach Pain
Seamus Flynn, a pharmacist and optometrist, says that Advil tends to have more side effects that can be “quite harsh on the stomach.” These side effects include upset stomach, nausea, vomiting, and heartburn, according to WebMD. Leann Poston, MD, a licensed physician and health advisor for Invigor Medical, says that chronic use of ibuprofen medications can actually damage the lining of the stomach, which produces more stomach issues like “stomach ulcers, pain, and bleeding.” Even the manufacturers of Advil suggest talking to your doctor before using Advil if you have a “history of stomach problems.” And for more warnings, If You’re Swallowing Your Medication With This, Stop Immediately.
Also Check: Kidney Sickness Symptoms
Which Is The Best Brand Of Tylenol For Dogs
Human formulations: Tylenol® is the most common brand. Acetaminophen is supplied by numerous drug companies with a variety of trade names and various generic formulations. In the UK, acetaminophen is known as paracetamol. There are better alternatives for controlling fever and pain therefore, acetaminophen is not used often in dogs.
What Pain Relievers Are Safe For Kidneys
Generally speaking, all pain relievers are safe for kidneys when used as directed on the bottle or by your doctor. But if you have kidney failure or are predisposed to kidney problems, then it may be in your best interest to avoid it altogether. Stick to medications like Tylenol, Midol, and Excedrin, which use acetaminophen as their active ingredient to play it safe.
Don’t Miss: Is Mio Bad For Your Kidneys