Which pain reliever is recommended for a patient with kidney disease?

Acetaminophen is the recommended pain reliever for a patient with kidney disease because it is considered safer for individuals with renal impairment. Unlike nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and naproxen, acetaminophen does not significantly affect renal blood flow or cause the same level of nephrotoxicity. This makes it a preferred choice as it can alleviate pain while minimizing the risk of further kidney damage.

In contrast, ibuprofen and naproxen can lead to renal complications, especially in patients with existing kidney issues, as they inhibit certain enzymes that help maintain kidney function. Aspirin can also pose risks, particularly at higher doses, as it may adversely affect kidney function and lead to other complications such as gastrointestinal bleeding. Thus, acetaminophen stands out as the safest option for managing pain in patients with kidney disease.