ACE Inhibitors (Angiotensin-Converting Enzyme Inhibitors): Medications like lisinopril and enalapril are often prescribed for high blood pressure and can even protect kidneys in early stages of certain kidney diseases. However, if you have advanced kidney disease, blockages in kidney arteries, or are dehydrated, these drugs can actually harm your kidneys. Your doctor should check your kidney function before and after starting these medications.
Diuretics (Water Pills): Drugs like furosemide and hydrochlorothiazide help remove excess fluid from your body, which is good for conditions like heart failure. But taking too much or being on them for a long time can lead to dehydration and kidney damage. Your doctor should regularly monitor your kidney function if you’re on these.
ARBs (Angiotensin Receptor Blockers): Losartan and valsartan are common blood pressure medications, often used if ACE inhibitors cause a cough. Like ACE inhibitors, ARBs can worsen kidney function in people with advanced kidney disease or dehydration. It’s important to monitor kidney health while on these.
Chemotherapy Agents: When treating cancer, chemotherapy is often necessary. However, some agents, like cisplatin and methotrexate, can be toxic to the kidneys. It’s a balancing act, and your oncologist should monitor your kidney function and discuss alternatives if possible. Staying well hydrated during treatment is also important.
Imaging Contrast Dyes: These dyes are used in scans like CT scans. While generally safe, they can cause kidney damage, especially in people with existing kidney disease, dehydration, or low blood volume. Always ask about alternatives or if IV hydration can be given before and after the scan to protect your kidneys.
Mood Stabilizers (Lithium): Lithium is used to treat conditions like bipolar disorder. While effective for many, it can cause kidney damage over time. If you or a loved one takes lithium, regular kidney function tests are a must. Sometimes, alternative mood stabilizers that are less harmful to the kidneys can be used.
Alcohol and Illicit Drugs: Excessive alcohol intake can lead to high blood pressure, a major cause of kidney failure. Illicit drugs like cocaine and heroin can also severely damage kidneys. Cocaine can constrict blood vessels and cause dangerously high blood pressure, while heroin can contain substances toxic to the kidneys. Avoiding these substances is crucial for kidney health.
Being Your Own Health Advocate
It’s clear that many medications, even those prescribed by doctors or bought over the counter, can affect your kidneys. This isn’t meant to scare you, but to empower you. Being your own advocate means asking questions, understanding your body, and working with your healthcare team. Drugs& Medications
TAKING A STATIN OR BLOOD PRESSURE MEDICATION?
Your numbers look better. So why do you still feel tired, foggy, or off?
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🔥 Discover the four overlooked factors your prescriptions were never designed to address—and why they may still affect how you feel.👇
Here are some things you can do:
