Medication & COVID-19

Key points for patients with kidney disease

COVID-19 is a new virus, and therefore research on it has only just begun. Some hypotheses — ideas based on very little evidence — have been made about the effects of certain drugs on COVID-19, but nothing has been proven. In fact, leading health organizations such as the World Health Organization (WHO) and the Centers for Disease Control and Prevention (CDC) have not recommended that patients stop any particular drug in order to decrease the chance of getting COVID-19 or to make it less severe. Some common drugs that have been highlighted in the news are discussed below.

Blood pressure medications called angiotensin converting enzyme inhibitors (ACEs) and angiotensin receptor blockers (ARBs) should NOT be stopped, unless recommended by a healthcare professional. These drugs are key to controlling blood pressure in patients with kidney disease. Stopping them could lead to a heart attack, stroke, or decreased kidney function. Learn more from the American College of Cardiology.

Patients with kidney transplants should not stop taking their immunosuppressants or lower their dose, unless their healthcare team tells them to. Stopping your immunosuppressants will most likely lead to the loss of your donated kidney. Contact your transplant team for any questions or concerns. Follow precautions as recommended by the American Society for Transplant located here.

Patients with kidney disease are usually told to avoid non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen. In general, kidney experts recommend acetaminophen for pain relief and reducing fever. But if you’re told by your healthcare team to take an NSAID for a specific reason, then you shouldn’t stop taking it because of COVID-19. Always talk with your healthcare team before making any changes in the drugs you take. Find the WHO's statement here.

Will there be drug shortages?

Since people with kidney disease depend on medicine to stay healthy it is important to understand issues related to potential drug shortages due to COVID-19. It’s hard to know which drugs will be affected, but it’s best not to panic. Hoarding and stockpiling drugs will only cause drug shortages to happen faster. Call your healthcare provider if you have a problem getting any of your medicines.

  • Only take medicines that are prescribed by your healthcare provider
  • Do NOT change the medicines you’re taking without speaking to your healthcare provider

The Food and Drug Administration (FDA) keeps a close watch on the drug supply chain.

This includes the availability of active pharmaceutical ingredients (API) which are often made in other countries, and any other parts of the supply chain that may be impacted by COVID-19. You can find more information about drug shortages related to COVID-19 on the Food and Drug Administration (FDA) website.