What are painkillers?

Painkillers are analgesic drugs or pain relievers or a member of any group of drugs that are used by patients to get relief from pain. Some notable names of painkillers are acetaminophen (Tylenol), aspirin, naproxen( Aleve), and ibuprofen ( Advil, Motrin).

  • Painkillers are the medications used to relieve pain from simple headaches to the major injuries of the body.
  • There are basically three main types of painkillers : non steroidal anti inflammatory drugs, paracetamol and opioids.
  • Pain killers go by many names

analgesics

narcotics

pain medicine

pain relievers.

Benefits of painkillers

  • Reduces pain from the body whether it is mild or severe.
  • Painkillers can be proven to be a good choice in certain cases such as when you are suffering from cancer pain or just had your surgery, then opioid painkillers are generally suggested by the experts.

Do painkillers affect the kidneys?

  • Painkillers are taken for relieving pain from the body but it has some side effects as well. The common side effects of using painkillers are nausea, dizziness, drowsiness, depression, weakened immune system, and the tolerance power of the body reduces over time, your body needs more of the drug to get the same effect. However, exposure to painkillers on a long term can show adverse effects and damage is small filtering blood vessels of the kidneys. These can even cause analgesic nephropathy, a serious chronic kidney problem.
  • Symptoms of analgesic nephropathy include fatigue haematuria, increased urination frequency, decrease in urine output, decreased alertness, nausea, oedema, pain in back area where kidneys are located.
  • Also a heavy use of some of these medicines such as ibuprofen, naproxen or higher doses of aspirin can cause a chronic kidney disease known as chronic interstitial nephritis.
  • Also painkillers that combine to a more medicine such as aspirin and acetaminophen with caffeine or codeine are known most likely to affect kidneys very badly. You should also note that painkillers with codeine require a prescription.
  • You should use these pain relievers safely. Do not continue with these medicines for a longer time, you must see a doctor.
  • Patients with decreased kidney functions are recommended to use painkillers called NSAID, non steroidal anti inflammatory drugs. Also, even with normal kidney functions analgesics or pain killers should be used when it is exactly as prescribed or mentioned on the label, or try to take it at the lowest dose possible. Or you can also continue it for the shortest period of time.

Is it safe to use painkillers in chronic kidney disease?

  • Pain is the most common as well as distressing symptoms for patients suffering from chronic kidney disease.
  • A proper instruction should be followed while choosing a painkiller analysis as some of its types should not be taken by the people with kidney disease others should be only taken under the guidance of a specialist.
  • A stepwise approach should be done when using painkiller, for example for acute( short )term pain to the long term( chronic )pain, the weakest painkiller from the first step of the analysis ladder is tried first and then the stronger painkiller is if pain still persisted is used. So that the patient’s pain along with his side effects are monitored closely.
  • Taking painkillers during severe cases may even lead to the retention of fluid, that might be safe to some extent when the dialysis part is contradictory in case if you intake for long periods having others as it may result in bleeding from the stomach and the gut.
  • On the other hand, opiates should be operated carefully on the patients as it has many side effects such as nausea, drowsiness, Constipation and many more.

Which painkillers are safe for chronic kidney disease?

  • There is no simple answer to this question. The painkillers which are best to use in kidney patients depend upon the several health conditions. It is also dependent upon the other kind of medications a patient is using. Before choosing any painkiller for yourself, you must tell your doctor about any prescription drugs, over the counter drugs or the herbal medicines that you are taking.
  • However, over the counter drug Tylenol generic acetaminophen is often the best choice for kidney problems. Also, Tylenol should be in limited doses as a high dose can damage the liver as well. It is recommended that one should never take more than 4000 milligrams a day which is equal to about twelve 325 milligram pills.
  • If Tylenol does not work in your condition, you may switch to a stronger painkiller such as ultram generic tramadol for a short duration of time. Also, in kidney problems, those must not exceed more than 200 milligram a day and take only once every 12 hours in addition to avoid the risks of any side effects.
  • Try to avoid taking tramadol if you take epilepsy or Paxil (generic paroxetine), Prozac or zoloft as taking tramadol with these medications may increase your chances of getting seizures.
  • Although acetaminophen remains a safe choice for occasional use in patients with kidney disease because it is often that bleeding complications may occur when these patients use aspirin simultaneously.
  • Paracetamol in standard doses is also a safe choice if you have kidney problems. As opioids can be used starting from small doses and increasing the dose Can be done under medical supervision.

What are the commonly prescribed drugs for kidney patients?

The commonly prescribed drugs for kidney patients include

  • Co- trimoxazole 
  • Isoniazid
  • Azathioprine
  • Prednisolone
  • Cyclophosphamide
  • Cyclosporine
  • mycophenolate
  • Sirolimus

Which medicines should be avoided for patients with kidney problems?

Medicines or medications that damage our kidneys are called nephrotoxic medications. This damages the kidneys directly. However, the risk of kidney damage depends upon individual health conditions. The medicines that should be avoided by kidney patients include

  • NSAID non steroidal anti inflammatory drugs such as ibuprofen( Advil , Motrin ) naproxen (Aleve).
  • Vancomycin

        Vancomycin can cause damage to the kidneys and acute interstitial nephritis as well as in some        patients

  • Diuretics

Diuretics such as hydrochlorothiazide, furosemide, and spironolactone may be associated with the risk of acute kidney injuries.

  • Iodinated radiocontrast

Iodinated radiocontrast usually refers to the contrast dyes which are used in diagnostic testing such as CT scans.

  • ACE inhibitors

ACE inhibitors may prove both good and bad for patients depending upon their conditions. ACE inhibitors are actually metabolized by the kidneys so they come up with some risk of causing kidney damage.

What are the common side effects of using a painkiller for a long time?

  • Painkillers are sometimes necessary whereas sometimes harmful. One of the biggest problems about painkillers is its misuse and addiction. Many people suffer some serious health problems after taking too many painkillers. If you have taken painkillers too much, you may notice some of these side effects

Side effects of taking over the counter drugs are

  • Internal stomach bleeding caused by taking aspirin for a long time.
  • Liver damage this happens when SC domino fan it’s taken in excess or if it is mixed with alcohol.
  • Kidney problems if you consume too much ibuprofen.
  • High blood pressure in the individual.
  • Fluid retention in the body.
  • Ulcers.

Side effects after taking too many opioids

  • Difficulty in breathing
  • Dependence and high tolerance power
  • Substance abuse disorders.
  • Tooth decay and bone loss as well.

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