Anti-inflammatories Are Not Safe
Much of America has some type of pain, whether it be headaches, muscle strain, back or knee pain from arthritis, or general aches and pains. Which anti-inflammatory should they choose? For healthy individuals, conservative intermittent use of anti-inflammatories is generally ok. However, the elderly or anyone with reduced kidney function should have a high amount of caution.
The pain killer Acetaminophen (Tylenol) is considered safe for kidneys, but does pose risk of liver injury in high amounts. The anti-inflammatories, such as ibuprofen (Advil, Motrin), naproxen (aleve), Celebrex (celecoxib), Mobic (meloxicam) , Feldene (piroxicam), Relafen (nabumetone), Arthrotec (diclofenac), Arthrotec (diclofenac), Indocin (indomethacin), and others all can cause injury to the kidney. Aspirin once a day for heart health is generally ok in kidney disease, but should not be used in high amounts to treat pain. Sadly, this makes treating pain difficult in chronic kidney disease patients with over the counter medications. Therefore, it is important to know your kidney function and to work with your physician to know if it is safe to use anti-inflammatories or not.
When in doubt, stick to Acetaminophen (Tylenol) ~ Dr. Landon Dickson