Here are eight widely used medications or classes that research associates with potential kidney effects. These are drawn from sources like the National Kidney Foundation and peer-reviewed studies.
1. NSAIDs (e.g., Ibuprofen, Naproxen, High-Dose Aspirin)

These popular pain relievers reduce inflammation by blocking prostaglandins, which help maintain kidney blood flow. When prostaglandins drop, blood vessels can narrow, reducing filtration—especially during dehydration or with long-term use.
Research links NSAIDs to higher risks of acute kidney injury, particularly in older adults or those with pre-existing conditions. Short-term, occasional use is often fine for many, but regular or high-dose habits warrant caution.
2. Proton Pump Inhibitors (PPIs) (e.g., Omeprazole, Esomeprazole, Lansoprazole)