A BBC expert has given new advice after warnings over drugs used by millions in the UK was issued. Kidney Care UK and the National Pharmacy Association (NPA) earlier this month issued an alert for anyone using non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen, naproxen, and diclofenac.

A BBC specialist has recently offered updated guidance following a cautionary notice regarding medications commonly used by millions across the UK. Kidney Care UK and the National Pharmacy Association (NPA) have recently raised concerns about non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, naproxen, and diclofenac, urging users to be vigilant.

Medical professionals have highlighted that individuals at an increased risk of kidney disease, particularly those with diabetes or hypertension, should exercise extra caution. These medications have the potential to elevate blood pressure and harm the blood vessels within the kidneys. During an appearance on BBC Morning Live, Dr. Punam Krishan emphasized the importance of regular consultations with a healthcare provider for those using these pain relievers over an extended period.

Dr. Punam elaborated, stating, “Many individuals rely on painkillers, whether for short-term relief of acute conditions or for ongoing management. Unfortunately, there can sometimes be a stigma associated with long-term painkiller use. It’s crucial to differentiate between the types of pain relief available. We have paracetamol, NSAIDs like ibuprofen, naproxen, and diclofenac, along with opioid options such as codeine, tramadol, and morphine derivatives, and painkillers targeting nerve pain.”

She clarified that the recent warnings specifically pertain to non-steroidal anti-inflammatory drugs (NSAIDs), not all painkillers. “These medications are known to work by reducing inflammation. However, they can also decrease blood flow to the kidneys and, in certain individuals, raise blood pressure, particularly if there are existing kidney issues.”

Dr. Punam advised that individuals without pre-existing kidney problems can generally use anti-inflammatory drugs safely, provided they are monitored by their general practitioner for prolonged use. “This is why regular check-ups are vital for those on repeat prescriptions,” she noted.

She cautioned against abruptly discontinuing prescribed medications due to these concerns and advised consultation with a healthcare professional. “Painkillers serve an important function. It’s essential to continue taking them as needed and not to halt use suddenly without medical guidance,” she added.

As part of the alert issued earlier this month, Olivier Picard, chair of the NPA, said: “Medicines have the power to harm as well as to heal. “Although NSAIDs, such as ibuprofen, are effective and safe medicines, patients should be aware of their impact – particularly if a patient is at increased risk of developing kidney disease – and consider alternative medication where appropriate.

“If a patient has concerns about their usage of NSAIDs, they should speak to their pharmacist who can advise them. Pharmacists are experts in medicines and are best placed to offer advice to people who may be concerned about any potential long-term effect of some medicines and can help patients effectively manage pain.”

About 7.2 million people in the UK are living with some form of chronic kidney disease, which usually has no symptoms in the early stages. Kidney Care UK also estimates that about one million people are undiagnosed.

Those at an increased risk of developing the condition include: diabetics; people with high blood pressure; people with a family history of kidney disease; and those from black and south Asian communities.

Fiona Loud, policy director at Kidney Care UK, said: “Kidney disease can happen to anyone at any time, and can have a devastating impact on your life, relationships, finances as well as your physical and mental health.”

Of the 294,999 people who completed the charity’s kidney health checker between October 2024 and March 2026, almost a quarter (24%) said they regularly used over-the-counter medication for pain relief.