Other medications

During Chronic Renal Disease treatment, other medication to treat or to prevent some problems may be needed.

Antibiotics

Antibiotics help your body to fight infections.

Antibiotics may be needed to fight infections related to your vascular access. They are also used in the treatment of other infections, but in that case they will be prescribed to be acquired in a community pharmacy.

In renal patients dose and/or time between taking this medication has to be adjusted and its use has to be supervised. All doctors should be informed that you are a renal patient and the nephrologist should know the name and dose of the prescribed antibiotic.

Resins

Renal failure leads to potassium excessive levels in the blood, called hyperkaliemia. Dialysis and a diet poor in potassium are essential  to keep correct levels in the blood.

When blood potassium reach levels above desirable, it may be necessary to prescribed resins (polystyrene calcium sulfonate). Resins are not absorbed and when they reach the gout they switch one of its constituents  for potassium, reducing the amount of potassium which is absorbed.

Resins must be mixed with liquids such as water or tea and they must be taken at meals. They should not be mixed with fruit juices rich in potassium such as pineapple, orange, tomato, because by this way resin will make the switch of potassium immediately in the juice and not in the gout.

Laxatives

Constipation is a common problem in renal patients, due to the need of reduced liquids ingestion among other factors, or as a side effect of some medication.

There are several laxatives in the market, the majority may be acquired without needing doctor`s prescription, but not all of them are suitable to renal disease. Some laxatives contain magnesium and phosphates which are partially absorbed to bloodstream, others contain sodium which may lead to fluid retention, unsuitable to renal disease. To select the suitable laxative always ask for previously counseling.

Vaccines

Vaccines make your body produce substances that can protect it, the antibody, against infectious agents, and are the most effective way of preventing infectious diseases.

In Renal Patients, beyond the vaccines included in the national plan, which include Hepatitis B vaccine, other are also indicated:

  • Influenza vaccine;
  • Pneumococcal vaccine.

Routine vaccination allows a significantly reduction not only in infectious diseases which they prevent but also associated complications.