Managing Your Medications on Dialysis

Why Medication Management Matters

As a dialysis patient, you may be prescribed several medications to help manage your condition. Each one serves a specific purpose — from controlling blood pressure to keeping your bones strong. Understanding your medications and taking them correctly is essential for your health and quality of life.

Common Medications for Dialysis Patients

Phosphate Binders

Dialysis cannot fully remove phosphorus from your blood. Excess phosphorus pulls calcium from your bones and can cause itching, joint pain, and heart problems. Phosphate binders work by attaching to phosphorus in your food and preventing it from entering your bloodstream. These must be taken with every meal and snack.

Blood Pressure Medications

Most dialysis patients need blood pressure medication. High blood pressure damages your heart, blood vessels, and remaining kidney function. Your doctor may prescribe one or more types. Timing matters — some are taken on dialysis days only, some daily.

Erythropoietin (EPO) Injections

Healthy kidneys produce erythropoietin, a hormone that signals your body to make red blood cells. When kidneys fail, EPO production drops, causing anemia (low red blood cell count). EPO injections are usually given during dialysis to help maintain adequate red blood cell levels.

Iron Supplements

Iron is needed to make red blood cells. Dialysis patients often have low iron levels. Your doctor may prescribe oral iron supplements or IV iron given during dialysis. Take oral iron on an empty stomach if possible, and avoid taking it with phosphate binders.

Medication Safety Tips

1. Keep an updated medication list — include names, doses, and when to take each one
2. Use a pill organizer to stay on track with multiple medications
3. Ask your pharmacist about drug interactions before starting any new medication
4. Never take over-the-counter pain relievers (especially NSAIDs like ibuprofen) without asking your doctor
5. Bring all your medications to every doctor visit
6. Tell every doctor and dentist that you are on dialysis before they prescribe anything