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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Omnacortil And Torsed The Right Treatment For Mesangial Proliferative GN?

Hi, My father is 70 years old. He had swelling on all over of his body eyes, legs waist. Sometime swelling used to be more in the morning. upon consultation with Nephrologist doctors we did the check up of his 24 hrs urine electropheresis test. in the test we found the loss of around 8000 ml/gr protien from his urine. Hoe cretinine was normal and other test were also normal except cryoglobulin which was found positive. Doctor suggested for Kidney biopsy which we have done 15 days. From the reports LM and IF kidney biopsy report, docotor confirmed that my father is suffering from Mesangial proliferative GN and has given a treatement of Omnacortil 100 Mg, Olmesar 20 mg, Torsed 40 Mg, Repepsa D.Kindly suggest if the this treatment is good for him and will stop his swelling.
posted on Fri, 14 Mar 2014
Twitter Mon, 16 May 2016 Answered on
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Gastroenterologist,  's  Response
hi
thanks for posting in HCM
I have understood your concern

he was diagnosed with membrano proliferative GN with severe proteinuria.

this is immunologically mediated and needs steroid treatment

I ll clear your doubts about the medications prescribed for him

1.omnacortil is steroid and treatment of choice for this GN
2.olmesar is best drug to control proteinuria
3.torsed reduces the edema
4.repepsa d for gastritis because omnacortil is known to cause gastritis

I can suggest you
1.to check serum sodium and potassium every 2weeks till he gets stabilized.
2.change repepsa d to plain rantac 150 mg once a day in the morning because repepsa on long-term use causes interstitial nephritis.

hope this helps you
any further questions please let me know
thanks
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Is Omnacortil And Torsed The Right Treatment For Mesangial Proliferative GN?

hi thanks for posting in HCM I have understood your concern he was diagnosed with membrano proliferative GN with severe proteinuria. this is immunologically mediated and needs steroid treatment I ll clear your doubts about the medications prescribed for him 1.omnacortil is steroid and treatment of choice for this GN 2.olmesar is best drug to control proteinuria 3.torsed reduces the edema 4.repepsa d for gastritis because omnacortil is known to cause gastritis I can suggest you 1.to check serum sodium and potassium every 2weeks till he gets stabilized. 2.change repepsa d to plain rantac 150 mg once a day in the morning because repepsa on long-term use causes interstitial nephritis. hope this helps you any further questions please let me know thanks