The pertinent literature concerning the experimental induction of anal
gesic nephropathy is reviewed, Based on the accumulated data from anim
al experiments that induced a pathologic lesion resembling chronic ana
lgesic nephropathy, of the limited number of analgesics tested, aspiri
n seems to be the most nephrotoxic of the commonly available analgesic
s, When aspirin is combined with other analgesics, the limited data av
ailable suggest at least an additive nephrotoxic effect, if not a syne
rgism. The histologic presentation of acute intoxication is substantia
lly different from that following chronic ingestion. With improvements
in pathologic analysis of experimental results, Mure studies may well
provide more insight as to the significance, relative contribution, a
nd risk of combination analgesic products in inducing experimental ana
lgesic nephrotoxicity. (C) 1996 by the National Kidney Foundation, Inc
.