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Creatine × Nephrotoxic Drugs

MINOR INTERACTION — Possible Evidence

⚠️ Mechanism

Creatine may increase creatinine levels (not necessarily indicating kidney damage), complicating monitoring of nephrotoxic drugs.

📋 Effect

Elevated creatinine levels may be misinterpreted as drug nephrotoxicity

💊 Management

Inform healthcare provider about creatine use. Monitor kidney function with additional markers (cystatin C).

Plain Language Summary

This interaction is considered minor, but it can make monitoring kidney health more difficult. Creatine use can raise creatinine levels in your blood, which might be mistaken for kidney damage caused by the medication.

Source

Gualano B et al. J Int Soc Sports Nutr 2012; Poortmans JR, Francaux M. Mol Sci Sports Exerc 2000

Supporting Research

Association of Age, Antipsychotic Medication, and Symptom Severity in Schizophrenia With Proton Magnetic Resonance Spectroscopy Brain Glutamate Level: A Mega-analysis of Individual Participant-Level Data PMID:33881460 DOI:10.1001/jamapsychiatry.2021.0380 2021
HMG CoA reductase inhibitors (statins) for people with chronic kidney disease not requiring dialysis PMID:24880031 DOI:10.1002/14651858.CD007784.pub2 2014
Greater Choline-Containing Compounds and Myo-inositol in Treatment-Resistant Versus Responsive Schizophrenia: A 1H-Magnetic Resonance Spectroscopy Meta-analysis PMID:37925074 DOI:10.1016/j.bpsc.2023.10.008 2024
Comparison of statins for secondary prevention in patients with ischemic stroke or transient ischemic attack: a systematic review and network meta-analysis PMID:30914063 DOI:10.1186/s12916-019-1298-5 2019
Meta-analysis of the efficacy and safety of Finerenone in diabetic kidney disease PMID:41578591 DOI:10.1097/MD.0000000000047098 2026
Creatine and creatine analogues in hypertension and cardiovascular disease PMID:22071819 DOI:10.1002/14651858.CD005184.pub2 2011
HMG CoA reductase inhibitors (statins) for dialysis patients PMID:24022428 DOI:10.1002/14651858.CD004289.pub5 2013
Neurochemical profiles in hereditary ataxias: A meta-analysis of Magnetic Resonance Spectroscopy studies PMID:31838195 DOI:10.1016/j.neubiorev.2019.12.019 2020
Medical Disclaimer: This interaction record is for informational and educational purposes only and does not constitute medical advice. Drug-supplement interactions can be dangerous. Always consult your healthcare provider or pharmacist before combining any supplement with prescription medications. Do not stop or change any medication without professional guidance.