Toxic Alert - RD500

Toxic Alert

Many Common Drugs Can Damage Kidney and Liver

by Steven S. Bhimji, MD, PhD
(4.5 / 17 ratings )

This course is credentialed for:
Dietetics/Nutrition (1.00 CPEU)

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.
Dietitians: 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.
OnCourse Learning is a Continuing Professional Education (CPE) Accredited Provider (#GD001) with the Commission on Dietetic Registration (CDR). This course is a Level 2 course. Suggested CDR Learning Codes: 3000, 3060, 3070, 3090, 3100, 4000, 4040, 4090, 5000, 5240, 5340.
OnCourse Learning is also accredited by the Florida Council of Dietetics and Nutrition (provider # FBN 50-1489).
This program has been approved for fulfilling the continuing education requirements of the Certifying Board for Dietary Managers (CBDM). Granting prior approval does not constitute endorsement of the program content or its program sponsor.

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.


For Florida professionals:

If this course is approved by the Florida Council of Dietetics and Nutrition, this course completion will be electronically reported to CE Broker as required per Florida Statute 456.025(7). Click here to view your CE Broker transcript and check the status of your CE requirements with a FREE 7-day CE Broker trial subscription. It may take up to 24 hours for the course to appear on your CE Broker transcript.

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Read more about the new license renewal process at and claim your free Basic Account in CE Broker to see what has already been reported for you.

Please check the licenses/certifications section under my account (after logging in) to make sure you have entered a valid FL license number. This information is required for correct reporting of your course completions to CE Broker.

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Sara L - Phoenix, AZ  ·  Jan 08, 2017
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Joann B - Clackamas, OR  ·  Jul 31, 2016
good review of toxic medications and herbs we all use daily
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GREGORY K - Naples, FL  ·  Jun 29, 2016
very informative course
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DONNA A M - Los Angeles, CA  ·  May 27, 2016
It is short but packed with so much information about impact of medications on the kidney. Also includes information of impact on the liver.
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KAY S - Ponsford, MN  ·  Nov 21, 2015
very interesting and helpful
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Price: $20.00
CE-PRO Price: $10.00