amikacin can directly injure kidney tubule cells, particularly with higher exposure or in vulnerable patients.
Other antibiotics can cause kidney problems through a different mechanism.
Penicillins and related beta-lactams, cephalosporins, sulfonamide antibiotics, fluoroquinolones and rifampin are among medications associated with acute interstitial nephritis.
This is one reason doctors may adjust antibiotic doses according to kidney function and monitor certain patients during treatment.
- ACE Inhibitors
ACE inhibitors include medications such as:
Lisinopril, enalapril, ramipril and captopril.
There’s an important nuance here.
ACE inhibitors are frequently used to
protect the kidneys,
