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With further reports of the increased risk of kidney injury with prolonged and excessive phenacetin use, however, phenacetin was banned in several countries between the 1960s and 1980s. [20] As the use of phenacetin declined, so too did the prevalence of analgesic nephropathy as a cause of end-stage kidney disease.
One notable death that can possibly be attributed to the use of this drug was that of the aviation pioneer Howard Hughes. He had been using phenacetin extensively for the treatment of chronic pain; it was stated during his autopsy that phenacetin use may have been the cause of his kidney failure. [18]
However, it became recognised that these medications were addictive, and Priscilla Kincaid-Smith found that the large doses of phenacetin ingested by habitual users were responsible for widespread kidney disease. [4] [5] The phenacetin was removed from Bex in 1975. [6] Bex has also been linked to kidney cancer. [7]
AKI - the other main type of kidney disease - can be caused by dehydration, blood loss, urinary tract obstructions such as kidney stones or blood clots, low blood pressure, or heart disease. It ...
The drugs are called proton pump inhibitors, or PPIs, and you might even have one or two in your medicine cabinet right now.
Kidney failure is especially a risk if the patient is also concomitantly taking an ACE inhibitor (which removes angiotensin II's vasoconstriction of the efferent arteriole) and a diuretic (which drops plasma volume, and thereby RPF)—the so-called "triple whammy" effect. [82] In rarer instances NSAIDs may also cause more severe kidney ...