Toxic Alert - CHES500

Toxic Alert

Many Common Drugs Can Damage Kidney and Liver

by Steven S. Bhimji, MD, PhD
(4.4 / 10 ratings )

This course is credentialed for:
Health Education (1.00 CECH)

Price: $20.00
CE-PRO Price: $10.00


Although often assumed safe, prescription and OTC medications can cause serious adverse reactions, especially in certain high-risk populations. Acetaminophen (Tylenol) and aspirin are associated with an increased risk of chronic renal failure. These drugs, as well as ibuprofen, are ingredients in many OTC and prescription medications. In addition, with the increase in popularity of complementary medicine, herbal therapy toxicities occur at an accelerated rate. Specifically, OTC drugs, prescription drugs and even herbal products can target the kidney and liver. The causes of these reactions and toxicities are complex, and certain patient populations are more susceptible. Because these reactions are preventable when users are educated about the risks and screened for risk factors before therapy, healthcare providers across disciplines must be able to identify the drugs and their potential toxicities to ensure patient safety.


The goal of this module is to inform nurses, pharmacists, dietitians, EMTs and paramedics, fitness professionals, health educators, imaging and radiation therapists, physical therapists, and physicians about the common OTC, prescription and herbal products that cause renal and liver toxicity, with an emphasis on patient populations at risk. After studying the information presented here, you will be able to:
  • Discuss the drugs that cause renal toxicity and list their mechanisms of toxicity
  • Discuss the drugs that cause liver toxicity and list their mechanisms of toxicity
  • Identify risk factors for the development of drug-induced renal or liver toxicity

Accreditation Information
This course is intended for multiple professions, including nurses, pharmacists, dietitians, EMTs and paramedics, fitness professionals, health educators, imaging and radiation therapists, physical therapists, and physicians.
Health educators: Take this version of the course to ensure you receive appropriate credit.
For the version accredited or approved for another profession, go to your specific profession at If you have a CE Direct login ID and password (generally provided by your employer), please log in as you normally would at and search for this topic title.
Sponsored by OnCourse Learning, a designated provider of continuing education contact hours (CECH) in health education by the National Commission for Health Education Credentialing, Inc. This program is designated for Certified Health Education Specialists (CHES) and/or Master Certified Health Education Specialists (MCHES) to receive up to 1.0 total Category I continuing education contact hours.
Provider ID: CA0084 (98709) for 01/01/2012 to 12/31/2015, 114941 for 01/01/2016 to 12/31/2019.

Course Originally Released on: 10/7/2002
Date of Most Recent Review: 10/9/2014
Course Termination/Update Date: 10/9/2017

Unless stated above, the planners and authors of this course have declared no relevant conflicts of interest that relate to this educational activity. OnCourse Learning guarantees this educational activity is free from bias.

Please see CE Course Instructions to learn how to earn CE credit for this module.

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CHRISTINE M - Norco, CA  ·  Mar 04, 2016
Seems a bit clinical for CHES
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Cheryl C - Lake Elmo, MN  ·  Feb 09, 2014
Good review, little complicated with drugs discontinued or the problem ones to watch out for.
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Christina T - Niantic, CT  ·  Dec 30, 2013
This course is informative about the drug interaction effects to the liver and kidneys in regards to regularly prescribed medications. It also reflects good information of some alternative supplements that are regularly taken by many that people should be made aware of for safety reasons but are very often overlooked. I will most definitely pass on what I have learned through this course.
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Price: $20.00
CE-PRO Price: $10.00