Can Pyridium cause kidney damage?

Phenazopyridine (Pyridium) is a commonly used urinary tract analgesic. It has been associated with yellow skin discoloration, hemolytic anemia, methemoglobinemia, and acute renal failure, especially in patients with preexisting kidney disease.
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What happens if you take Pyridium for too long?

Do not use Pyridium for longer than 2 days unless your doctor has told you to. Stop taking this medicine and call your doctor at once if you have pale skin, fever, confusion, yellowing of your skin or eyes, increased thirst, swelling, or if you urinate less than usual or not at all.
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Can AZO cause kidney problems?

Phenazopyridine (applies to Azo-Standard) renal dysfunction

Reported cases of toxicity due to overdosage have resulted in acute renal failure and methemoglobinemia.
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What happens if you take Pyridium for more than 2 days?

Yellowing of the skin or eyes: A change in skin colour or discoloration of the whites of the eyes is an indication that phenazopyridine may be building up in the body. This can happen as a result of decreased kidney function or having taken this medication longer than the recommended 2 days.
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Can phenazopyridine cause kidney pain?

Various case reports with phenazopyridine associated acute renal failure secondary to acute tubular necrosis have been reported in the literature. Acute kidney injury in these patients is caused by either direct injury to renal tubular epithelial cells or secondary to pigment induced nephropathy from hemolytic anemia.
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Kidney (Renal) Disease Signs



What is an unusual side effect of phenazopyridine?

Tell your doctor immediately if any of these rare but very serious side effects occur: yellowing skin/eyes, dark/bloody urine, change in the amount of urine, stomach/abdominal pain, vomiting, fever, chills, easy bruising/bleeding, unusual tiredness, shortness of breath, fast heartbeat, seizures.
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Is AZO safe for kidney patients?

You should not use AZO Urinary Pain Relief if you have kidney disease.
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Is it safe to take Pyridium daily?

How to use Pyridium. Take this medication by mouth, usually 3 times daily after meals or as directed by your doctor. If you are taking this medication along with antibiotics for symptoms related to a urinary tract infection, or are self-treating, do not take it for more than 2 days without talking to your doctor.
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How long does it take for Pyridium to get out of your system?

Phenazopyridine, an azo dye, is typically prescribed as a urinary analgesic, for pain or irritation during micturition. It is primarily eliminated through the kidneys and has a blood half-life of 7.35 hours in individuals with normal renal function [1].
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Is Pyridium and azo the same thing?

Phenazopyridine is a dye that works as a painkiller to soothe the lining of the urinary tract. Phenazopyridine is available under the following different brand names: Azo Standard, Pyridium, Prodium, Pyridiate, Baridium, Uricalm, Urodine, and UTI Relief.
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Does Pyridium affect the liver?

Rare but serious side effects associated with phenazopyridine (occurring in <1%) include: acute kidney failure, hemolytic anemia, hepatitis (liver injury), and.
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Is Azo Cranberry good for kidneys?

Avoid drinking more than 1 liter (34 ounces) of Azo-Cranberry juice daily over a long period of time. You could develop kidney stones with long-term use of Azo-Cranberry juice in large amounts.
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How long can you safely take phenazopyridine?

Do not use phenazopyridine for longer than 2 days unless your doctor has told you to. This medication can cause unusual results with urine tests. Tell any doctor who treats you that you are using phenazopyridine. Store at room temperature away from moisture and heat.
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Can Pyridium be given long term?

Long-term use may cause yellowing of nails. Phenazopyridine should be avoided by people with glucose-6-phosphate dehydrogenase deficiency, because it can cause hemolysis (destruction of red blood cells) due to oxidative stress. It has been reported to cause methemoglobinemia after overdose and even normal doses.
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Does Pyridium cause hemolytic anemia?

DISCUSSION: Pyridium is an oral urinary tract analgesic given for symptomatic relief of dysuria (Haigh and Dewar 2006). It has been shown to cause hemolytic anemia and acquired methemoglobinemia via its metabolite aniline (Jeffery et al. 1982).
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Is phenazopyridine safe?

Phenazopyridine can interfere with certain laboratory tests (including urine tests for kidney function, bilirubin, and sugar levels), possibly causing false test results. Home urine tests (including diabetic tests) may be affected. Make sure laboratory personnel and all your doctors know you use this drug.
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What drugs interact with Pyridium?

Most frequently checked interactions
  • albuterol.
  • Benadryl (diphenhydramine)
  • Cipro (ciprofloxacin)
  • Cymbalta (duloxetine)
  • Flexeril (cyclobenzaprine)
  • gabapentin.
  • ibuprofen.
  • levothyroxine.
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Does Pyridium cure UTI?

Phenazopyridine will treat urinary symptoms, but this medication will not treat a urinary tract infection.. Take any antibiotic that your doctor prescribes to treat an infection. Phenazopyridine may also be used for purposes not listed in this medication guide.
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Why is Pyridium prescribed for short term use?

Phenazopyridine is a pain reliever that affects the lower part of your urinary tract. It masks the pain and does not treat the pain. The cause of the pain needs to be determined so that anything sinister can be treated or ruled out. This is the reason why phenazopyridine should only be used short term.
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Does Pyridium help interstitial cystitis?

Common pain medications used for short-term pain relief during an IC symptom flare are phenazopyridine (Pyridium), nonsteroidal anti-inflammatory drugs, and narcotics.
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How much Pyridium can you take?

The usual recommended adult dose of phenazopyridine is 100 to 200 mg three times daily after meals. Treatment should not exceed 2 days when used in-combination with an antibacterial agent. The maximum daily dose for adults is 600 mg. Dose adjustment may be required for patients who have kidney disease.
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What are the side effects of AZO Urinary Pain Relief?

Headache, dizziness, or stomach upset may occur. If any of these effects last or get worse, notify your doctor or pharmacist promptly. If your doctor has directed you to use this medication, remember that your doctor has judged that the benefit to you is greater than the risk of side effects.
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Can Pyridium cause bilirubin in urine?

The only false-positive bilirubinuria results that can occur may be seen if the patient is concomitantly taking the drug phenazopyridine (Pyridium) or the nonsteroidal anti-inflammatory etodolac.
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What should you not take with azo?

Most frequently checked interactions
  • aspirin.
  • atorvastatin.
  • Benadryl (diphenhydramine)
  • clonazepam.
  • gabapentin.
  • hydrochlorothiazide.
  • ibuprofen.
  • levothyroxine.
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What are the contraindications of phenazopyridine?

CONTRAINDICATIONS. Phenazopyridine is contraindicated in patients with renal insufficiency, severe liver disease, severe hepatitis or pyelonephritis of pregnancy and in patients who are hypersensitive to the drug or its ingredients. It should be used cautiously in the presence of GI disturbances.
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