STAGE 4 CKD

Information About Stage 4 Chronic Kidney Disease

Definition - Severe reduction in kidney function
GFR: (15 - 29 ml / min)
Goal: Slow or stop progression to Stage 5
Possible Clinical Actions:
• Preparation for renal replacement therapy
• Plan elective start of dialysis or consider transplant options, should the disease progress
(Just because you have Stage 4 CKD and are preparing for dialysis does not mean you will necessarily need it in the future. Planning may begin years before you ever need dialysis and taking steps to maintain your kidney functions may prevent you from reaching Stage 5. If you do progress, preparation and education can make the transition to dialysis much easier and safer).

IMPORTANT: If you have CKD Stage 4 or 5, check with your nephrologist before starting the common antibiotic Bactrim (sulfamethoxazole and trimethoprim), as this can worsen kidney disease.

MEDICATIONS TO AVOID:
NSAIDs (non-steroidal anti-inflammatories): These medications are often given for the treatment of arthritis or inflammation. Some examples are: Motrin, Aleve (naproxen), Advil (Ibuprofen), Celebrex (celecoxib), Mobic (meloxicam), Relafen, Goody’s Powder, and more.

An alternative to NSAIDs is Tylenol (acetaminophen) which is a safe over-the-counter medication to take for pain, headache, etc.

An 81mg Aspirin is also safe to take.

Many other medications may be unsafe to take due to your kidney disease. Our nephrologists are available to discuss any changes in your medications to make sure they are safe for your level of kidney disease.