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ARTICLE |

Analgesics and Chronic Renal Disease

Edward B. Shaw, MD
JAMA. 1963;185(6):545. doi:10.1001/jama.1963.03060060143034.
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ABSTRACT

To the Editor:—  The article and editorials in the May 11 issue of The Journal (184:435, 494) regarding the use of analgesics in chronic renal disease have certain amusing as well as dismaying overtones. The patient who consumes analgesic tablets in a dosage of 10 to 30 daily over a period of years will not profit from a warning on the label and scarcely deserves this protection. "Labels recommending no more than six tablets in 24 hours and the avoidance of long-continued use" will hardly meet the problem of the patient who over-works, consumes generous quantities of alcohol, smokes excessively, and then consumes excessive quantities of analgesics until the next cocktail hour. This is the real vicious circle which needs attention.Almost without exception the drug which is introduced as highly effective and utterly without adverse reactions is eventually shown not to be devoid of side effects. The real

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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