What is it about?

Chronic kidney disease (CKD) is a long-term condition in which the kidneys do not work as well as they should. This article offers practical guidance on prescribing for adults with stable CKD, who do not need to be assessed by a specialist. It explores important steps that prescribers can take to enable people with CKD to get the best possible outcomes from their medicines.

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Why is it important?

Chronic kidney disease is common and changes how the body processes many medicines. Also, side effects to medicines are more common and more severe in people with kidney disease than in those whose kidneys are working normally. Therefore, prescribers must consider how well a person's kidneys are working when prescribing medicines. Prescribers should work within their limitations and seek advice from kidney specialists when necessary.


I wrote this article to support healthcare professionals to optimise medicines use in people with chronic kidney disease. I hope that it helps to form a 'bridge' between pharmacokinetics and practice for prescribers who are non-renal specialists.

Sally Porter
University of York

Read the Original

This page is a summary of: Prescribing medicines in people with renal impairment, Nursing Standard, October 2023, RCNi,
DOI: 10.7748/ns.2023.e12218.
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