Table of Contents
Nephrotoxic drugs

Drugs to avoid/dose-reduce in renal impairment
Always look them up in the BNF if there is any renal impairment:
- Nephrotoxic drugs (above)
- Hypoglycaemics
- Drugs which increase potassium (e.g. supplements, potassium-sparing diuretics, ACE inhibitors)
- Antibiotics (e.g. ciprofloxacin, nitrofurantoin, some penicillins, trimethoprim, clarithromycin, teicoplanin)
- Opioids/NSAIDs
- Statins
- β-blockers
- Psychotropics (e.g. lithium, gabapentin, fluoxetine)
- Anticoagulants (direct oral anticoagulants, low molecular weight heparin)
- Many others (e.g. allopurinol, colchicine, digoxin, ranitidine)