What medications should not be taken before dialysis?
Sarah Cherry
Published Feb 08, 2026
What medications should not be taken before dialysis?
What medications to avoid with kidney disease
- Pain medications also known as nonsteroidal anti-inflammatory drugs (NSAIDs)
- Proton pump inhibitors (PPIs)
- Cholesterol medications (statins)
- Antibiotic medications.
- Diabetes medications.
- Antacids.
- Herbal supplements and vitamins.
- Contrast dye.
What medications do you hold before dialysis?
Scheduled medications Because your patient’s BP will drop during treatments, all antihypertensive drugs should be held before hemodialysis. In most cases, antiarrhythmic medications are given as scheduled due to the high incidence of patients developing arrhythmias during hemodialysis.
Should metoprolol be given before dialysis?
Beta blockers are administered as described in arms. Metoprolol (50 mg) administered 3 hours prior to a hemodialysis session. Blood samples are collected a multiple times during dialysis and spent dialysate is collected at the end of the dialysis session.
Can you take warfarin before dialysis?
Conclusions— Our findings suggest that warfarin should be used carefully in hemodialysis patients, given the higher risk of hemorrhagic events and the lack of ability to prevent thromboembolic complications.
Do you hold multivitamins before dialysis?
It’s recommended that you take your renal vitamins every day. Try to make it a habit of taking it after your dialysis treatment and at that same time when you don’t do treatments.
Can you give hydralazine before dialysis?
In patients prone to intradialytic hypotension, short-acting agents, such as hydralazine, before dialysis should not be administered. There is little support to withhold antihypertensive therapy otherwise before dialysis.
Do you hold regular insulin before dialysis?
Patients who are treated with insulin Therefore, all patients who are treated with insulin, irrespective of diabetes type, are recommended to carry out SMBG. Clinicians should also monitor their pre- and postdialysis plasma glucose levels in each hemodialysis session.
Can you take antibiotics on dialysis?
infection. For patients on hemodialysis, antibiotics can build up because the kidney isn’t able to fully remove them from the body. Tell your doctor and pharmacist that you are on dialysis when being prescribed antibiotics.
Should Lipitor be held before dialysis?
Current guidelines22-24 and evidence-based reviews9,25-27 are mainly focused on results of these studies. The guidelines recommend that statins should not be initiated in patients undergoing dialysis but should be continued in patients receiving statins before dialysis.
Do you hold atorvastatin before dialysis?
In adults with dialysis-dependent CKD, KDIGO recommends avoiding initiation of statins or statin/ezetimibe combinations. However, there is no recommendation to stop therapy in dialysis patients who are already receiving statins or statin/ezetimibe combinations.
Can you take blood thinners on dialysis?
Summary: The blood thinner warfarin can prevent strokes in most individuals with abnormal heart rhythms, but the drug may have the opposite effect in kidney disease patients on dialysis, according to a new study. The results suggest that warfarin should be prescribed with caution in patients with kidney failure.