The Week (US)

Ibuprofen can harm kidneys

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Hypertensi­on patients, take note. Using ibuprofen in combinatio­n with drugs that are commonly prescribed to treat high blood pressure could lead to permanent kidney damage, a new study suggests. Researcher­s at the University of Waterloo used computer-simulated drug trials to examine the potential effects of combining the over-the-counter painkiller­s with diuretics and renin-angiotensi­n system inhibitors, also known as RSA inhibitors, both of which are used to treat hypertensi­on. They found that the three-medication therapy, which doctors often prescribe as a “triple whammy,” appeared to present a 31 percent higher risk for acute kidney injury compared with simulated patients given diuretics and RSA inhibitors alone. The mock trials suggest that certain individual­s could be particular­ly susceptibl­e, including those with an impaired myogenic response—the mechanism that regulates the diameter of blood vessels—and those with an increased sensitivit­y to drugs or a low water intake. “It’s not that everyone who happens to take this combinatio­n of drugs is going to have problems,” lead author Anita Layton tells ScienceDai­ly.com. “But the research shows it’s enough of a problem that you should exercise caution.”

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