Which antibiotics are best for UTIs? It depends. [“Here we go again!” CKDEx Ed] Why? It depends what we mean by a UTI. Loosely there are two ‘types’: Uncomplicated UTIs – these mainly affect the bladder (cystitis), are mild, and are usually treated with oral antibiotics. An ultrasound is usually not necessary Complicated UTIs – […]
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10 drugs that can damage your kidneys Almost all drugs can affect the kidneys in some adverse way. But these 10 drugs are known to damage kidneys quite often. Certain antibiotics – aminoglycosides (e.g. gentamicin) and beta-lactams (cephalosporins, penicillins) Lithium – a bipolar disease mood stabiliser Acyclovir and ganciclovir (antivirals) Certain blood pressure tablets – angiotensin-converting enzyme
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Drugs that require dose reduction in CKD Most drugs are removed from the body by the kidneys. This means the blood levels of these drugs can build up in CKD, possibly making them toxic. Hence some drugs require dose reduction in CKD, and others should be avoided. Drugs to avoid in CKD Some antibiotics: tetracycline
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Drugs that can damage the kidneys (nephrotoxic) ‘Nephrotoxicity’ is a term used to describe a deterioration in kidney function due to the toxic effects of drugs or chemicals. A nephrotoxic drug is one that is known can damage the kidneys. Why does it matter? AKI. Nephrotoxicity is a major cause of acute kidney injury (AKI;
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10 most common tablets for CKD We will now go through what are the 10 most common tablets for CKD. They are in alphabetical order and all drugs are oral unless stated. 1x = 1 times a day 2x = 2 times a day etc 1. Alkali E.g. Sodium bicarbonate (500mg 2x, to 2g 3x/day)
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