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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does The Result Regarding My Kidney Indicate?

Dear Doctor,

My Sreum Cretitine is 3.4 and Hemoglobin is 12.4.Suffering from CKD since 6 month. Now I am on BP medicine like Lonitab, Selokan XL and Fabulas 40 mg.

Question is how bad my kidney is and which stage of renal failure. Can be improved?

Tue, 1 Aug 2017
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Nephrologist 's  Response
Dear patient,

I do not see any ACE inhibitor or ARBs in your therapy. It is a good drug in order to reduce the progression of renal disease ( but also any cardiovascular disease). You can ask your physician to start with ramipril, 2.5 mg once a day and increase at the maximum tolerated dose ( 10 mg). It can be an excellent substitute of minoxidil. You can expect a transient increase of serum creatinine but it has been demonstrated that renal survival, at the long term, will increase. Your physician should strictly follow serum potassium at least for the first month's of treatment, since potassium can be found higher than normal and it may be cause of severe hyperkalemia.

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What Does The Result Regarding My Kidney Indicate?

Dear patient, I do not see any ACE inhibitor or ARBs in your therapy. It is a good drug in order to reduce the progression of renal disease ( but also any cardiovascular disease). You can ask your physician to start with ramipril, 2.5 mg once a day and increase at the maximum tolerated dose ( 10 mg). It can be an excellent substitute of minoxidil. You can expect a transient increase of serum creatinine but it has been demonstrated that renal survival, at the long term, will increase. Your physician should strictly follow serum potassium at least for the first month s of treatment, since potassium can be found higher than normal and it may be cause of severe hyperkalemia.