Symptom Control in Patients with Renal Failure

This chapter aims to provide general prescribing advice for patients with renal failure, whether from chronic kidney disease as a result of non-malignant conditions, as a complication of malignancy, or acute renal failure at the end of life.

These patients can have an unpredictable disease trajectory and management of their symptoms may be complex.


This Guide is intended for use by healthcare professionals and the expectation is that they will use clinical judgement, medical, and nursing knowledge in applying the general principles and recommendations contained within. They are not meant to replace the many available texts on the subject of palliative care.

Some of the management strategies describe the use of drugs outside their licensed indications. They are, however, established and accepted good practice. Please refer to the current BNF for further guidance.

While WMPCPS takes every care to compile accurate information , we cannot guarantee its correctness and completeness and it is subject to change. We do not accept responsibility for any loss, damage or expense resulting from the use of this information.