Pain relief - kidney disease

[teenboymom]

My DM has fractured her wrist. She has kidney disease (stage 4) not on dialysis yet. She only fractured wrist yesterday. Taking solpadeine but has maxed out on doses today and in a lot of pain. Doc said she can have anything other than paracetamol but surely there is something she can take?

she really needs advice from the people who can access her medical history/blood results and who know exactly what injury she has. Sometimes more/different drugs are the answer (and it can be really difficult to balance pain relief without either rogering the kidneys completely or developing side effects due to drug accumulation), but sometimes they need to think a bit harder about the injury and whether anything's changed or needs doing differently. If she's at home then 111 may be able to give advice and if she's in hospital there will be an on-call team who can review things.

Thanks, she seems to have a settled a bit. We will ring her clinic in the morning. Not in Uk so dont have 111

What is her function looking like? Is it any less than 30? I have stage 3a following kidney failure from sepsis - I've been told I can have ibuprofen for a MAX of 3 days
I'm also on a pain patch with pain clinic guidelines but you are not in the UK so it is very hard to advise and I'm not a medical professional
X

Her function is 12%, bloods just done last week. It's so hard not having the option to take difene. I'll ring them tomorrow

You absolutely cannot have ibuprofen with a kidney function of 12%. That would be highly likely to tip you straight into kidney failure.

But hopefully the renal clinic will have some alternative suggestions for pain relief.

Yes I know. I'm saying it's so frustrating. Spoke to nurse as she went to A&E overnight and they wouldn't give her anything as she had already taken oaracetemol. I tried to contact her kidney team but no luck, will try again tomorrow. She is much better today

No real advice but 100% no ibuprofen

I'm surprised at that level of kidney function that your DM doesn't have almost immediate access to her team. By that stage DH had a general clinic number, a direct line to transplant nursing team and could also ring the renal ward at any time of The day or night.

So glad to hear that she is feeling a bit stronger today though. It's miserable when your kidneys are slowly packing up and then you get hit by something else as well.

Tens machine? No idea if that's that much use for a fractured wrist, but certainly no impact on kidneys.

But agree, she probably needs specific medical advice.

To add: they're not suitable for people with pacemakers or other cardiac devices.