29/08/2026
Your kidneys continuously filter the blood, regulate fluid and electrolytes, and remove many medications from the body. Some drugs can place additional stress on this filtration system particularly during prolonged treatment, at high doses, during dehydration, or when kidney function is already reduced.
Generic NSAIDs such as ibuprofen, naproxen and diclofenac can reduce protective prostaglandins that help maintain blood flow through the kidneys. The Kidney Foundation of Canada warns that NSAIDs may damage the kidneys, particularly when taken at high doses for long periods. Kidney Foundation of Canada, Health Canada
Lithium is eliminated mainly through the kidneys. During long-term treatment, clinicians commonly monitor lithium blood levels and kidney function because some patients develop impaired urine concentration or declining kidney function.
Certain antibiotics including gentamicin and vancomycin—can also affect kidney tubules. Their doses may need adjustment according to kidney function, and clinicians may monitor medication levels during treatment.
Risk depends on the medication, dose, duration, hydration, other medicines and the person’s health. These drugs remain valuable and may be medically necessary. Do not stop a prescribed medication on your own. Ask a physician or pharmacist whether kidney-function testing is appropriate, particularly if you have kidney disease, diabetes, dehydration or take several medications.
Educational content only; it is not individualized medical advice.