Examples: Lisinopril, enalapril (ACE); losartan, valsartan (ARBs)
Risk: Can temporarily reduce kidney function in some (e.g., with renal artery stenosis)—but often protect kidneys long-term in diabetics or those with proteinuria.
✅ Don’t stop: These are often kidney-protective—monitoring is key.
6. Laxatives (Especially Osmotic Types)
Examples: Magnesium citrate, polyethylene glycol (Miralax) — when overused
Risk: Chronic abuse can cause electrolyte loss and kidney strain.
✅ Use occasionally: For short-term relief only.
7. Antivirals
Examples: Acyclovir (for herpes), tenofovir (for HIV/HBV)
Risk: Can form crystals in kidneys or cause direct toxicity.
✅ Prevention: Taken with plenty of water; kidney function monitored.
8. Contrast Dye (Used in Imaging)
Not a pill, but worth noting: Iodine-based contrast for CT scans can cause “contrast-induced nephropathy.”
Risk: Higher in those with diabetes, dehydration, or pre-existing kidney disease.
✅ Precaution: Hydrate well before/after; ask about kidney-safe alternatives.
❤️ How to Protect Your Kidneys
Stay hydrated (unless medically restricted)
Avoid combining NSAIDs + PPIs + diuretics (“triple whammy” risk)
Get kidney function tested if you take these long-term
