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Printer Friendly Print Acetaminophen or acetylsalicylic acid increases risk of developing chronic kidney failure

Acetaminophen or acetylsalicylic acid increases risk of developing chronic kidney failure

December 21, 2001

People who regularly use high dosages of pain-relievers or antipyretic drugs containing acetaminophen (paracetamol) or acetylsalicylic acid run an increased risk of developing permanent reduced kidney function (chronic renal failure).

This was found in a nation-wide Swedish research study published on December 20 in The New England Journal of Medicine. The study was carried out by researchers at the Department of Medical Epidemiology at the Karolinska Institute in collaboration with kidney doctors all over the country.




In the investigation 1,924 men and women between the ages of 18 and 75 were interviewed about their use of pain-killers or antipyretic (fever-reduction) medication. Responses from 926 individuals with newly discovered kidney ailments and moderately reduced renal function were compared with responses from 998 control individuals with healthy kidneys. It turned out that regular use of drugs with acetaminophen or acetylsalicylic acid, each by itself, was tied to an increase in the risk of chronic renal failure. This risk rose with increased aggregate dosage. Those who had regularly taken drugs with acetaminophen totaling 500 grams (1,000 tablets) or more had more than three times the risk of developing chronic renal failure. Those regularly using drugs with the equivalent amount of acetylsalicylic acid had almost twice the risk.

Even a small risk of damaging effects can entail large-scale consequences since the use of pain-relievers and antipyretic drugs is extremely wide-spread. It is important to point out, however, that sporadic use of drugs with acetaminophen or acetylsalicylic acid, on average once per week or less, does not involve any increase in the risk of developing chronic renal failure.

All patients in the study had a background kidney ailment with increased risk for deteriorated kidney function. It has previously been shown that moderate use of medicines with acetaminophen or acetylsalicylic acid by people with fully healthy kidneys does not increase the risk of deteriorated kidney function.

On the other hand, the results of this study prescribe caution in the long-term treatment of pain in elderly or chronically ill individuals who per se face an increased risk of developing deteriorated kidney function.

VetenskapsrÄdet (The Swedish Research Council)



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