### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I am in the 3rd stage of kidney failure. i have been taken off of any all pain meds,my question is how invasive is toradol to my kidneys. i have diabetes, high blood pressure, and  have 2 toes on my left foot. My family Dr. didnt ever tell me i had problems with my kidneys, I have rheumatoid, osteoarthritis, gout, charcott joint deformity in both ankles& etc. I need to keep my creatinine level as low as possible. Im doing as much as i can to help my condition. i have been very down since  my dr.  gave me such information. i am 58 w/fe. thank you for ur time cheryl smith .

### output:

Hi Cheryl, Welcome to ChatDoctorI understand your situation. In general all analgesics have adverse effects on kidney function and are not indicated in kidney disease. Tornado also belongs to the family of analgesics that inhibit vasodilator substance called as prostaglandins to elicit its action. Inhibiting such vasodilator agent will further reduce your kidney function. Although such medications are contra-indicated, under unavoidable conditions such as yours (fore-mentioned inflammatory conditions) sporadic use of non-steroidal anti-inflammatory (NSAIDs) may be used but only under medical supervision. I will advise you to consult your primary physician for any use of analgesics. Regardless of any choice of painkillers please increase the amount of fluid intake and avoid any consumption of alcohol. Lastly, please make sure that your physician knows about all medicines you are taking, even over-the-counter medications. Hope this helps.