Report: Acute Renal Failure After Excessive Energy-Drink Consumption
the MPR take:
Although acute kidney injury has rarely been tied to energy drink consumption, a case reported in The Annals of Pharmacotherapy discusses the possibility of such a link in a 40-year old man who presented with acute renal failure after a 2–3 week history of ingesting the energy drink Red Bull. After stopping consumption of the beverage, symptoms of renal dysfunction resolved within 2 days and persisted for 10 months of follow-up. Energy drinks such as Red Bull contain caffeine as well as other ingredients such as vitamins, sugar, amino acids, and herbs. The authors posit that something other than caffeine may have been the culprit since no reports of kidney failure due to coffee consumption could be found. The quantity and length of time for which the energy drink was consumed may have also been a factor (5–6 20oz drinks/day for several weeks). The patient had type 2 diabetes but this appeared to be an unlikely cause since A1C was well controlled and kidney function resumed to normal without a change in his diabetes regimen. The patient was also taking lisinopril and lamotrigine, along with occasional ibuprofen, but no evidence points to these medications being the cause. Researchers hypothesized that taurine, an ingredient in Red Bull, may have a link to kidney injury, but without clear evidence the case was reported as a "probable" adverse drug reaction.
To report a case of acute renal failure possibly induced by Red Bull.