Which drugs worsen the kidney values | Kidney values

Which drugs worsen the kidney values

Numerous medications cause damage and restriction of kidney function. This is because many drugs are metabolized in the kidneys and are also excreted through the kidneys. Particularly when high doses of medication are taken over a long period of time, damage to the kidneys can occur, which is reflected in an increase in kidney values.

Regular monitoring of the kidney values in the blood is therefore recommended for these drugs. A strong kidney-damaging effect has been proven for some painkillers. These are mainly the non-steroidal anti-rheumatic drugs such as Diclofenac, Ibuprofen or ASS.

When taken in high doses over a long period of time, these active ingredients lead to reduced blood flow in the kidneys and direct damage and inflammation of the kidney tissue. This results in an increase in the renal values in the blood. Administering these drugs is therefore not recommended in cases of already existing limited kidney function. Other drugs that can damage the kidneys and increase renal function include antibiotics (such as gentamicin, neomycin, streptomycin), some antihypertensive drugs, diuretics and gout drugs.

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Homeopathy to improve kidney values

A homeopathic treatment to improve kidney function and lower kidney values can be carried out in conjunction with a therapy coordinated with the attending physician. In case of acute symptoms or a deterioration of the kidney values, the attending physician should be consulted in any case and the further procedure should be discussed. Depending on the existing kidney symptoms, various homeopathic active ingredients are recommended. Commonly used active ingredients are Phosphorus, Rhus toxicodendron, Sarsaparilla, Silicea and Sulphur.

With which kidney values should one not get contrast medium?

When an X-ray contrast medium is administered, there is a significantly increased risk of acute renal failure in patients with pre-existing kidney function impairment. For this reason, the use of contrast medium is not recommended in these patients. To determine kidney function, the creatinine concentration in the blood is measured.

This allows a conclusion to be drawn on the glomerular filtration rate (GFR), which represents the filtering ability. For creatinine concentrations above 1.3 mg/dl in the blood, the GFR should therefore be calculated. At a GFR < 20 ml/min no contrast agent should be administered.

If necessary, a contrast medium can still be administered in individual cases after consideration in a nephrological consultation. With a GFR between 20 and 45 ml/min, irrigation should be performed before and after the administration of contrast medium. In this case, the patient is usually given fluid via an infusion, so that the contrast medium can be better excreted via the kidneys.

In the case of higher GFR values, a contrast medium can be administered (if no other contraindications exist). The radiological examination, e.g. by MRI, can be performed with an additional administration of contrast medium for a better assessment of the findings. This contrast medium is mainly excreted via the kidneys and should therefore be weighed in the event of kidney damage. These articles may also be of interest to you:

  • Contrast medium – What is it?
  • MRI with contrast medium – Is that dangerous?