What are the best opioids for patients with End-Stage Renal Disease (ESRD)?

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Last updated: February 22, 2025View editorial policy

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From the Guidelines

Opioid use in end-stage renal disease patients requires careful consideration due to altered drug metabolism and increased risks, and the safest approach is for ESRD patients to consult their nephrologist or pain management specialist to determine if opioids are appropriate and, if so, which ones at what doses. The management of pain in patients with end-stage renal disease (ESRD) is complex and requires careful consideration of the potential risks and benefits of opioid therapy. According to the most recent and highest quality study, fentanyl, sufentanil, and methadone are preferred opioids for patients with renal insufficiency or ESRD due to their lack of active metabolites 1. Some key points to consider when managing pain in ESRD patients include:

  • Avoiding meperidine, codeine, and morphine due to active metabolites and accumulation in renal insufficiency and ESRD 1
  • Using hydrocodone, oxycodone, and hydromorphone with caution and adjusting dosage in renal insufficiency and ESRD 1
  • Considering non-opioid pain management options first when possible
  • Consulting a nephrologist or pain management specialist to determine the best course of treatment for individual patients It's also important to note that buprenorphine may have a role in the analgesic therapy of patients with renal impairment undergoing hemodialysis treatment, as it is mainly converted in the liver to norbuprenorphine, a metabolite 40 times less potent than the parent compound 1. However, the dose conversion from other opioids to buprenorphine can be complex, and palliative care advice is recommended 1. Ultimately, the goal of pain management in ESRD patients is to improve quality of life while minimizing the risks associated with opioid therapy. By working closely with a healthcare team and carefully considering the potential risks and benefits of opioid therapy, ESRD patients can receive effective pain management tailored to their individual needs.

From the Research

Opioid Recommendations for ESRD Patients

The following opioids are recommended for patients with End-Stage Renal Disease (ESRD):

  • Fentanyl, alfentanil, and methadone are recommended as Step 3 analgesics 2
  • Buprenorphine is considered a promising and safer option due to its partial agonism at the mu opioid receptor 3, 4, 5, 6
  • Oxycodone and hydromorphone can be safely used, but adequate dosage adjustments are required in CKD patients 3, 5, 6
  • Tramadol is the least problematic of the Step 2 analgesics, although dose reduction and increased dosing interval are required 2

Opioids to Avoid in ESRD Patients

The following opioids are not recommended or should be used with caution in ESRD patients:

  • Morphine and diamorphine are not recommended due to the accumulation of potentially toxic metabolites 2, 5, 6
  • Codeine should be used with very caution and possibly avoided in renal failure/dialysis patients 5, 6

Key Considerations for Opioid Use in ESRD Patients

  • Opioid use should be minimized and reserved for patients who have failed other therapies 3
  • Careful monitoring and dose adjustment are required when using opioids in ESRD patients 2, 3, 5, 6
  • Nonpharmacological and nonopioid analgesics should be first-line approaches for pain management 3, 4

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Pain management in patients with chronic kidney disease and end-stage kidney disease.

Current opinion in nephrology and hypertension, 2020

Research

Management of pain in end-stage renal disease patients: Short review.

Hemodialysis international. International Symposium on Home Hemodialysis, 2018

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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