All rights reserved. Nutrition labels can be confusing and misleading. J. Rossert, Drug-induced acute interstitial nephritis, Kidney International, vol. Routine restaging scans revealed a recurrence in abdominal lymph nodes and the patient underwent an exploratory laparotomy and mesenteric lymph node biopsy, which confirmed a recurrence of Hodgkin lymphoma. However, avoiding or limiting certain foods in your diet may help decrease the accumulation of waste products in the blood, improve kidney function, and prevent further damage (2). Symptoms include fatigue, nausea and vomiting, swelling, changes in how often you go to the bathroom and brain fog. 141179, 1994. They remove wastes and extra water, which become urine. The kidneys grow larger and gradually lose the ability to function as they should. There are things that are more under our control: Heavy or long-term use of certain medications, even those that are common over-the-counter. R. Checker, D. Sharma, S. K. Sandur, S. Khanam, and T. B. Poduval, Anti-inflammatory effects of plumbagin are mediated by inhibition of NF-kappaB activation in lymphocytes, International Immunopharmacology, vol. Among these foods, packaged, instant, and premade meals are usually the most heavily processed and thus contain the most sodium. 6, pp. The patient presented had other types of drug exposure such as metoclopramide, promethazine, and baclofen; however, a likely association with Carnivora is discussed below. Despite milks high calcium content, its phosphorus content may weaken bones in those with kidney disease. Therefore, new medications that are thought to cause AIN should be reported and promptly discontinued by a clinician to improve a patients chance of recovery. This is because avocados are a very rich source of potassium. Its best to limit these foods on a renal diet. When the kidneys become damaged and are unable to function properly, fluid can build up in the body and waste can accumulate in the blood. J. K. Jeloka, Pathophysiology of acute interstitial nephritis, Clinical Queries: Nephrology, vol. https://www.niddk.nih.gov/health-information/kidney-disease/chronic-kidney-disease-ckd#:~:text=Chronic kidney disease (CKD) means,family history of kidney failure. Extremely itchy skin is a common symptom of advanced kidney disease. There are some ways to prevent or slow down the progression of kidney disease. Chronic kidney disease (CKD) means that your kidneys do not work as well as they should. Carnivora helps defend against sickness and disease, helping your body function at its best. Plant protein sources : Beans, nuts and grains. Healthline Media does not provide medical advice, diagnosis, or treatment. In this video, we'll cover the basics of chronic kidney disease. This site complies with the HONcode standard for trustworthy health information: verify here. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. My last eGFR in September of 2019 was 49 and my creatinine was . People with kidney disease can develop skin rashes. The mechanism of AIN is not completely understood. Loss of appetite Nausea and vomiting Vomiting Fatigue and weakness Numbness and tingling Muscle tightness, twitches and cramps Abnormal heart rhythm Seizures Personality changes Difficulty remembering things Low mood Insomnia Hyperirritability and excitability Health conditions associated with magnesium deficiency: Heart failure Consider avoiding avocados on a renal diet if your doctor or nutritionist has advised you to lower your potassium intake. Early detection might help prevent kidney disease from progressing to kidney failure. Minimizing dark sodas and caffeine is also important to maintain the . The carnivore diet consists entirely of meat and animal products, excluding all other foods. Accessed April 26, 2021. Sign up for free, and stay up to date on research advancements, health tips and current health topics, like COVID-19, plus expertise on managing health. This medication is a diet supplement used to prevent and treat low blood levels of carnitine. Protein. Explain how the features of skull a and skull c are related to each organism's diet. So keep your blood pressure, cholesterol and weight in Carnivore Diet Chronic Kidney Disease The Kidney Disease Solution is an all-in-one three-phase program designed to help individuals reverse kidney damage and enhance their kidney function while soothing the pain from the symptoms. The following drugs and A single copy of these materials may be reprinted for noncommercial personal use only. One cup of cooked brown rice contains 150 mg of phosphorus and 154 mg of potassium, while 1 cup of cooked white rice contains only 69 mg of phosphorus and 54 mg of potassium (16, 17). disease dont have any symptoms until theyre very sick. Diagnosis and Treatment Your veterinarian can determine if your pet is diabetic by checking blood, urine, and clinical signs. Additionally, processed meats are high in protein. Urinalysis revealed <1 eosinophil, 4+ WBC, and 30+ protein. And most of those don't know they have it. 2020; doi:10.1590/1806-9282.66.S1.3. If you're overweight or obese, then try to lose weight. What To Do When Your Medication Isnt Enough. The majority of those with late or end stage kidney disease will need to follow a kidney-friendly diet to avoid a buildup of certain chemicals or nutrients in the blood. And for people whose Chronic kidney disease, sometimes called CKD, is an umbrella term for several conditions that affect the kidneys, but it generally means permanent and usually progressive damage to the kidneys caused by a variety of conditions. Middle stage kidney disease (stages 3-4) Your kidneys help regulate mineral levels of calcium and phosphorus in your blood. The medication was discontinued and kidney function improved towards the patients baseline indicating that this may be the possible cause of his AIN. Although their serving sizes become smaller when cooked, their potassium contents remain the same. Just one medium-sized baked potato (156 grams) contains 610 mg of potassium, whereas one average-sized baked sweet potato (114 grams) contains 541 mg of potassium (31, 32). The authors would like to thank Dr. Bernard Panner and Dr. Bruce Goldman for their assistance providing pathologic images. If you have kidney disease, its important to watch your intake of sodium, potassium, and phosphorus. Arrows: intact foot processes, P: podocytes (original mag. While most people dont need to do a kidney cleanse, there are healthy choices you can make to keep. Cleveland Clinic is a non-profit academic medical center. However, when the kidneys are damaged, too much phosphorus consumption can cause a buildup of phosphorus in the blood, which can pull calcium from your bones. 10661071, 1997. Key points about kidney disease in children. Researchers have reviewed 17 dietarysupplementsthat have been associated with direct kidney injury, though in a very limited numbers of cases. Sometimes, other common medical conditions can increase your risk. 10, pp. Carnivora is a supplement that is extracted from Dionaea muscipula, a species of the Venus flytrap plant. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. One cup of dried apricots provides over 1,500 mg of potassium (30). Despite this, its important information is beneficial, we may combine your email and website usage information with 3 to less than 4 servings per day: 25% increased risk. Individual complications vary, but treatment might include high blood pressure medication, diuretics to reduce fluid and swelling, supplements to relieve anemia, statins to lower cholesterol, or medications to protect your bones and prevent blood vessel calcification. Chronic kidney disease (CKD). Keeping sodium intake to 2,300 mg per day may be difficult if youre eating highly processed foods regularly. https://www.kidney.org/atoz/content/about-chronic-kidney-disease. Penicillins such as ampicillin-sulbactam have been associated with AIN; however, there have been no reports of AIN with promethazine, metoclopramide, and baclofen. Potatoes and sweet potatoes are high potassium vegetables. Glomerular filtration rate (GFR) is a test thats used to monitor kidney function in people with diabetes. Heavily processed foods not only contain a large amount of sodium but also commonly lack nutrients (36). A healthy kidney (left) eliminates waste from the blood and maintains the body's chemical balance. At that point, you need dialysis or a kidney transplant. It can cause physical symptoms such as fatigue, nausea, and diff. Urine:protein creatinine ratio was 0.76. The aim of this study was to investigate the endoparasites of the non-native raccoon population of Central Italy. However, swapping tomato sauce for a roasted red pepper sauce can be equally delicious and provide less potassium per serving. FIRST CHRONIC KIDNEY DISEASE TREATMENT APPROVED IN 20 YEARS FOR PATIENTS WITH AND WITHOUT TYPE 2 DIABETES HELPS YOU KEEP LIVING BY REDUCING THE RISK OF CV DEATH First approved CKD treatment in decades for patients with and without type 2 diabetes, FARXIGA is proven to help by: Slowing the progression of CKD Reducing the risk of 70, no. This is the case of 30-year-old man with Hodgkins lymphoma who on routine labs before chemotherapy was found to have acute nonoliguric renal failure. High Blood Pressure? If you're unsure, speak to your doctor. After leaving the hospital, he resumed Carnivora at a higher dose (4 capsules, three times a day). Range expansion potential is an important consideration for prioritizing management actions against an invasive species. Chronic kidney disease. Also, its easy to eat more than the recommended portion size of these foods, often leading to even greater salt intake than intended. C. Zoya and G. Remuzzi, Interstitial nephritis, in Principles of Molecular Medicine, M. S. Runge and C. Patterson, Eds., pp. painkillers like aspirin (Ascriptin, Bayer and Ecotrin), ibuprofen (Advil 0% 0% found this document not useful, Mark this document as not useful infection in cats causes systemic disease with potential novel routes of virus spread within and between hosts. Tomatoes are another high potassium fruit that may not fit the guidelines of a renal diet. All Rights Reserved. Health conditions that require kidney screenings If you have one of these health conditions, or if you or your family has a history of kidney problems, it's important to have your kidneys checked once a year: Diabetes. G. K. Rangan, Y. Wang, Y.-C. Tay, and D. C. H. Harris, Inhibition of nuclear factor-B activation reduces cortical tubulointerstitial injury in proteinuric rats, Kidney International, vol. J.-C. Wu, G.-M. MRI: Is gadolinium safe for people with kidney problems? Unfortunately for those on a renal diet, tomatoes are commonly used in many dishes. Some species, such as gray wolves, are polymorphic for coat color. It can be especially severe and troubling in people who are in kidney failure, also called end-stage kidney disease (ESKD) or end-stage renal disease (ESRD). Chronic kidney disease is a challenging condition that affects millions of people worldwide. Dominique Fontaine, BSN, RN, HNB-BC, HWNC-BC. However as the disease progresses concurrent conditions often appear, such as poor haircoat, liver disease, and secondary bacterial infections become more common. The symptoms, diagnosis and treatment. Various imaging tests like ultrasounds or CT scans can be done to help your doctor assess the size, the structure, as well as evaluate the visible damage, inflammation or stones of your kidneys. Dairy products are rich in various vitamins and nutrients. This is because there are no obvious signs. Damage to the kidney's filter system can also allow blood and protein to leak into the urine. Due to the amount of sodium found in canned goods, its often recommended that people with kidney disease avoid or limit their consumption. 15. 151, no. Carnivora is a supplement that is extracted from Dionaea muscipula, a species of the Venus flytrap plant. ImmuneModulation Want to STAY Healthy? Dietary and Lifestyle Management. However, there are This is why regular checkups with your doctor are important. the body and cause damage. Whole wheat bread may be a more nutritious choice, mostly due to its higher fiber content. Conditions such as high blood pressure and diabetes take a toll on kidney function by damaging these filtering units and collecting tubules and causing scarring. Understanding the potential for range expansion by invasive reptiles such as the Burmese python can be challenging, because the lack of knowledge on fundamental physiological and behavioral constraints initially forces reliance on modeling to predict hypothetical invasive . Carnivora was again discontinued during this hospitalization. While theyre naturally low in sodium, 1 medium banana provides 422 mg of potassium (18). Treatment is determined by what is causing your kidneys to not function normally. We wish you well. Oranges and orange juice . 12, pp. However, pineapples contain substantially less potassium than other tropical fruits and can be a more suitable yet tasty alternative (19). Therefore, it may be difficult to keep your daily sodium intake to less than 2,300 mg if processed meats are abundant in your diet. be harmful to your kidneys. Namely quit smoking. Nutrition for Chronic Kidney Disease (CKD) in Children. Ask your doctor whether these tests are necessary for you. Immunofluorescence was 1+ to 3+ positive for C3 in the arterioles and mesangium, tubular basement membranes, and Bowmans capsule. One proposed mechanism is that absorption of various plasma proteins and molecules by tubular cells causes secretion of chemotactic and inflammatory mediators in the interstitium. Advertising revenue supports our not-for-profit mission. Obesity. Here are the 20 best foods to eat if you have kidney disease. GlobalData's report assesses how LSTA-201's drug-specific PTSR and Likelihood of Approval (LoA) scores compare to the indication benchmarks. Accessed April 26, 2021. Each unit, called a glomerulus, connects to a tubule, which collects urine. and Motrin), and naproxen (Aleve). However, moderate your intake of these foods, as theyre also high in oxalates. Packaged, instant, and premade meals are highly processed items that can contain very large amounts of sodium and lack nutrients. Many food and beverage manufacturers add phosphorus during processing to enhance flavor, prolong shelf life, and prevent discoloration. Your kidneys filter wastes and excess fluids from your blood, which are then removed in your urine. However, white bread is usually recommended over whole wheat varieties for individuals with kidney disease. Feels tight and cracks easily. This content does not have an English version. has tested your kidney function, you cant be sure that you dont have kidney M. Praga and E. Gonzlez, Acute interstitial nephritis, Kidney International, vol. 301311, 1996. Electron microscopy showing lack of podocyte effacement or glomerular basement membrane changes. 814815, 1999. Dialysis. to keep in mind that antibiotics can be safely used if needed as long as the Fan, K. Kitazawa, and T. Sugisaki, The relationship of adhesion molecules and leukocyte infiltration in chronic tubulointerstitial nephritis induced by puromycin aminonucleoside in Wistar rats, Clinical Immunology and Immunopathology, vol. 2006 . The patient had taken several medications including a higher dose of Carnivora, a Venus flytrap extract, composed of numerous amino acids. Low-phosphorus diet: Helpful for kidney disease? Moreover, just 4 dates provide 668 mg of potassium (43). Journals. Leafy green vegetables like Swiss chard, spinach, and beet greens are full of potassium, especially when served cooked. Processed meats are meats that have been salted, dried, cured, or canned. The product is manufactured in Germany, sold via the internet, and marketed as an immune modulator and antioxidant that selectively kills primitive cells that intrude the human body without harming the bodys own cells. I had severe problems, I have had chronic immune conditions- oh my goodness, both to food and environment for years, ever since I can remember. I'm Dr. Andrew Bentall, a kidney doctor at Mayo Clinic. Furthermore, the potassium content is even more concentrated in dried apricots. So seeking medical review is really important. Diet composition is considered to play a crucial role in urinary stone formation. Am J Pathol. You can also start your cat at a much lower dose compared to the calculation above. Carnitine is a substance made in the body from meat and dairy products. But if you're experiencing anything that concerns you, you should make an appointment with your doctor. While avocados are usually a healthy addition to the diet, those with kidney disease may need to avoid them. In the general US population, compared to adults with the highest fruit and vegetable intake, adults with the lowest intake had the highest risk of developing kidney failure: Less than 2 servings per day: 45% increased risk. A discussion of carnitine metabolism, as well as the role of carnitine supplementation in this patient population, is presented in this topic review. Your doctor or dietitian may recommend dietary changes based on the results of your blood tests. My husband recently died of breast cancer, and he did not use chemotherapy or radiation at the time of diagnosis. on your kidneys. Carnivora is the 100 percent absolutely PURE PHYTONUTRIENT EXTRACT and CAPSULE of Dionaea Muscipula, the particular species of the venus flytrap plant. Finally, ampicillin-sulbactam, promethazine, metoclopramide, and baclofen in the previous month are possible culprits; however they did not fit the typical temporal relationship as well as Carnivora and were given in limited doses. Policy. Renal osteodystrophy is a bone disease that occurs in adults and children with chronic kidney disease. If your doctor suspects the onset of chronic kidney disease, they may schedule a variety of other tests. injure your kidneys, even if youre otherwise healthy. Both type 1 and type 2 diabetes. https://www.merckmanuals.com/professional/genitourinary-disorders/chronic-kidney-disease/chronic-kidney-disease?query=Chronic kidney disease. Smoking can also be a contributing factor to chronic kidney disease. This means that just 1 cup of dried apricots provides 75% of the 2,000-mg low potassium restriction. A diagnosis of chronic kidney disease can be stressful, but not everyone will develop kidney failure. Potatoes and sweet potatoes are potassium-rich vegetables. Make an appointment with your doctor if you have signs or symptoms of kidney disease. Labs were notable for creatinine of 3.42mg/dL, BUN of 32mg/dL, and white blood cell count of 10,900 with normal eosinophils. Sample menu. take dietary supplements or vitamin doses above the Recommended Daily Allowance PDF | The ecology of vector-borne diseases (VBDs) is an important system of great complexity, which involves the knowledge about the pathogens and. This content does not have an Arabic version. caffeine can further harm your kidneys. M. Gomez-Chiarri, A. Ortiz, J. L. Lerma et al., Involvement of tumor necrosis factor and platelet-activating factor in the pathogenesis of experimental nephrosis in rats, Laboratory Investigation, vol. Merck Manual Professional Version. But also heart disease and obesity can contribute to the damage that causes kidneys to fail. Dietary restrictions vary depending on the stage of kidney disease. Drinking water, with the goal to balance water intake against kidney function to prevent fluid excess, helps the kidneys to maintain fluid balance more effectively. Kidney failure is a condition in which one or both of your kidneys no longer work on their own. Extremely dry skin is common in people who have end-stage kidney disease, which requires dialysis or a kidney transplant. Pretzels, chips, and crackers are easily consumed in large portions and tend to contain high amounts of salt. Theyre also high in potassium. They regulate phosphorus and calcium . And as kidney disease progresses, you may notice the following symptoms. High blood pressure. I am sorry, but there is no universal cure to cancer. Kidneys are essential to having a healthy body. Cleveland Clinic 1995-2023. check, as well as your blood sugar if you have diabetes. Unless youve had problems in the past, you probably take for granted that your kidneys are working as they should. for video What is kidney disease? Health problems from Chronic Kidney Disease (CKD) can be prevented or delayed by eating the right foods. normal blood pressure or cholesterol increases your risk for kidney disease, Even before any symptoms appear, routine blood work can indicate that you might be in the early stages of chronic kidney disease. Its best to avoid apricots, and most importantly dried apricots, on a renal diet. 8, no. Causes include diabetes, high blood pressure and acute kidney injuries. While an organ transplant can sound daunting, it's actually often the better alternative, and the closest thing to a cure, if you qualify for a kidney transplant. These diagnoses were effectively excluded through CT scan of the abdomen and phosphorus, urate, potassium, and calcium levels. And even then, there is plenty of hope. Processed meats typically contain large amounts of salt, mostly to improve their taste and preserve flavor. Since all ingredients may not be listed on the label and they can interfere with the prescription medications youre taking, consult your doctor before taking dietary supplements. For example, one-half cup of raw spinach will shrink to about 1 tablespoon when cooked. At-home biomarker tests can screen for fertility, heart health, STIs, and certain cancers. Whether you are looking for answers for yourself or for someone you love, we're here to give you the best information available. While additive phosphorus content varies depending on the type of soda, most dark-colored sodas are believed to contain 50100 mg in a 200-mL serving (8). Kidney disease can also cause other health problems. Cutting potatoes into small, thin pieces and boiling them for at least 10 minutes can reduce the potassium content by about 50% (33). Read More Protect Your Immune System with Immune Modulation! If you have been instructed to limit your potassium intake, it may be difficult to do so if a banana is a daily staple. 804817, 2001. Processed meats have long been associated with chronic diseases and are generally considered unhealthy due to their preservative contents (24, 25). This can make your bones thin and weak over time and increase your risk of bone breakage or fracture (21). 19, no. National Institute of Diabetes and Digestive and Kidney Diseases. Fluid-filled sacs, called cysts, replace normal kidney tissue and prevent the affected kidney from working. Develops fish-like scales. It gradually progresses through to kidney failure in later stages. But taking NSAIDS can affect In comparison, white bread contains only 28 mg of both phosphorus and potassium (13, 14). 15, pp. Dates, raisins, and prunes are common dried fruits. But1 in 5 men and 1 in 4 womenin the United States areestimatedtohave chronic kidney disease,and most people who have it dont know it. Phosphorus. Diabetes is the most common cause of kidney disease. Rather, its found in the form of salt and highly absorbable by the intestinal tract (7). Acute kidney disease starts suddenly. This method is known as potassium leaching or the double-cook method. Decreased appetite Fever and decreased activity Urinary accidents, incontinence, or inability to urinate Lower back pain Edema (fluid-filled swelling in the limbs) Some cats may show muscle-wasting and signs attributed to high blood pressure, such as vision loss and weakness. Therefore, individuals with chronic kidney disease of all stages, especially stages 35, should limit the amount of protein in their diets unless theyre on dialysis (3, 4). Acute interstitial nephritis (AIN) is a common cause of acute kidney injury and has been associated with a variety of medications. In addition, many carnivores are striped, spotted, blotched, banded, or otherwise boldly patterned. Treatment for chronic kidney disease focuses on slowing the progression of kidney damage, usually by controlling the cause. When served raw, the amount of potassium varies between 140290 mg per cup (37, 38, 39). These rashes are due to the kidneys' decreased function. Development of this extract began in Europe in the late 1970's by physician Dr. Helmut Keller. The slow intro involves gradually increasing your intake of carnivore foods over the course of a couple weeks while slowly reducing your vegetable/fruit/nut intake. Examples include frozen pizza, microwaveable meals, and instant noodles. This is an open access article distributed under the, http://www.carnivora.com/about-carnivora.html. It selectively responds to abnormal cells before they take you down. Chronic kidney disease, also called chronic kidney failure, involves a gradual loss of kidney function. But there are lots of ways to help you to be more comfortable for longer before more drastic measures are needed. We do not endorse non-Cleveland Clinic products or services. medications for multiple medical problems. However, those with end stage renal disease undergoing dialysis have an increased protein requirement (5). Healthy kidneys are very useful when it comes to eliminating waste from the blood, regulate calcium and hydration, and manage blood pressure. American Kidney Fund encourages Americans to come together in the fight against kidney disease, provides opportunities for empowerment, education and actionROCKVILLE, Md., Feb. 28, 2023 (GLOBE . Long-term antibiotic use can One of the important jobs of the kidneys is to clean the blood. Numerous compounds including droserone, hydroplumbagin, quercetin, formic acid, myricetin, gallic acid, and several amino acids are naturally present in this compound. Additionally, chips made from potatoes provide a considerable amount of potassium. High blood pressure (hypertension) that's difficult to control, Shortness of breath, if fluid builds up in the lungs, Chest pain, if fluid builds up around the lining of the heart, Glomerulonephritis (gloe-mer-u-low-nuh-FRY-tis), an inflammation of the kidney's filtering units (glomeruli), Interstitial nephritis (in-tur-STISH-ul nuh-FRY-tis), an inflammation of the kidney's tubules and surrounding structures, Polycystic kidney disease or other inherited kidney diseases, Prolonged obstruction of the urinary tract, from conditions such as enlarged prostate, kidney stones and some cancers, Vesicoureteral (ves-ih-koe-yoo-REE-tur-ul) reflux, a condition that causes urine to back up into your kidneys, Recurrent kidney infection, also called pyelonephritis (pie-uh-low-nuh-FRY-tis), Being Black, Native American or Asian American, Frequent use of medications that can damage the kidneys, Fluid retention, which could lead to swelling in your arms and legs, high blood pressure, or fluid in your lungs (pulmonary edema), A sudden rise in potassium levels in your blood (hyperkalemia), which could impair your heart's function and can be life-threatening, Weak bones and an increased risk of bone fractures, Decreased sex drive, erectile dysfunction or reduced fertility, Damage to your central nervous system, which can cause difficulty concentrating, personality changes or seizures, Decreased immune response, which makes you more vulnerable to infection, Pericarditis, an inflammation of the saclike membrane that envelops your heart (pericardium), Pregnancy complications that carry risks for the mother and the developing fetus, Irreversible damage to your kidneys (end-stage kidney disease), eventually requiring either dialysis or a kidney transplant for survival. What To Know Before You Try Digestive Bitters. And a small amount of tissue is taken with a needle and sent to the pathologist for further analysis. Your kidneys can be affected or damaged by a variety of diseases and conditions. White bread is typically recommended over whole wheat bread on a renal diet due to its lower phosphorus and potassium levels. If you have one of these They offer over 400 mg per 1 cup raw and over 1,500 mg per 1 cup dried. 60, no. any risk factors, a yearly check-up with blood pressure check, lab and urine Can You Improve Your Glomerular Filtration Rate (GFR)? CT scan with oral contrast showing enlarged 15cm right kidney and 14.5cm left kidney with no hydronephrosis. Find out how you can protect your kidney function. As you get older, you are more likely to suffer from kidney and urinary tract problems. Learn about positive lifestyle changes that may improve your glomerular filtration rate (GFR) and slow the loss of kidney function for people with, Your kidneys act as your bodys filtration system. And in some cases, a kidney biopsy may be necessary. Swiss chard, spinach, and beet greens, The 20 Best Foods for People with Kidney Disease, About Glomerular Filtration Rate (GFR) and Diabetic Kidney Disease, How to Read Food Labels Without Being Tricked. that patients often dont tell their doctors about the dietary supplements they Even more alarmingly, over-the-counter medicines, common prescriptions and nutritional supplements can have serious effects on kidney function.