Medicine Sick Day Rules

Taking your prescribed medication regularly is important and you will be monitored to ensure it remains effective and safe.  However, some medications increase the risk of developing kidney problems if you become unwell or dehydrated and you continue to take them.

When you are unwell with any of the following:

  • Vomiting or diarrhoea (unless only minor)
  • Fevers, sweats and shaking

Then STOP taking the medicines listed below.  Restart when you are well (after 24-48 hours of eating and drinking normally)

If you are in any doubt, contact your pharmacist, GP or nurse.

Medicines to stop on sick days –

  • ACE inhibitors: medicine names ending in “pril” eg, lisinopril, perindopril, ramipril
  • ARBs: medicine names ending in “sartan” eg, losartan, candesartan, valsartan
  • NSAIDs – anti-inflammatory pain killers eg, ibuprofen, diclofenac, naproxen
  • Diuretics – sometimes called “water pills” eg, furosemide, spironolactone, indapamide, bendroflumethiazide
  • Metformin – a medicine for diabetes
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