Category Archives: Medication and Kidney Disease

Must one always get treated for Hep C if you have CKD STAGE 3a? ALT and AST are normal. Creatinine normal. Protein normal. I am reading 100’s of people ending up dying of liver cancer and gaining on the average of 10-30 lbs after being treated with Harvoni.

If you have chronic Hepatitis C, I do recommend treatment. Studies have shown that patients with chronic Hepatitis C have a high rate of liver cancer if the virus is not treated. The longer you carry the virus, the more … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney-Related Health Questions, Medication and Kidney Disease

Can a dialysis patient take a Viagra?

A patient on dialysis should be able to use Viagra (Sildenafil). There are many other medications that interact with Viagra. You should discuss use of this drug with your primary care physician (PCP) to make sure it does not interfere … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Medication and Kidney Disease

My husband was diagnosed with polycystic kidney and a GBM antibody 2 years ago, which put him in end stage renal failure. This came out of the blue. He is now in peritoneal dialysis. He has afib like his mother did and we watch his blood pressure for any complications too. After a recent stress test, followed by an echo and an angiogram, his heart is now pumping at 25-30%. Our heart Doctor is trying medication to see if it can help the heart pump better and so every month, we go and if b/p #’s are ok, then he ups the medication. He’s been doing this going into month 5. This last time, the extra 1/2 milligram twice daily, dropped his b/p to 90/65 more than once. It was like this for a couple of days. I immediately called our doctor and informed him I wasn’t going to give him the extra pill; which the doctor was fine with. Our doctor is going to do an echo to see if his heart is pumping better and if not, then he’ll get a defibrillator. I feel the longer we wait, he’s just getting weaker. Should the doctor keep on trying to up the meds or is 4-5 months enough since the medicine keeps on messing with his blood pressure?

The question that you ask is a cardiology question.  In my experience, the cardiologists try to increase the beta blocker (usually a drug called carvedilol) up to maximally tolerated doses.  This is standard treatment for patients with reduced ejection fraction … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, GFR, Kidney-Related Health Questions, Laboratory Testing, Medication and Kidney Disease, Medication and Kidney Function, Symptoms and Side Effects, Treatments

I have severe headaches from several concussions and a recent accident. Was prescribed Topamax which seems to help. This January I was hospitalized with a sepsis infection which caused kidney failure and was diagnosed with stage 3 kidney disease. Will the topamax cause further damage to the kidneys or is there another medicine that would be better suited? The headaches are unbearable that cause nausea and very draining of energy.

Topamax (topiramate) is a medication that causes changes in kidney function that could lead to an accumulation of acid in the body and also could cause kidney stones.  It does not do so in every person and it is somewhat … Continue reading

Posted in Acute Kidney Injury, Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Kidney Failure, Kidney-Related Health Questions, Laboratory Testing, Medication and Kidney Disease, Medication and Kidney Function, Symptoms and Side Effects, Treatments

What can be the side effects of using NSAID one tablet once a month over the years? One tablet of NSAID user over the years once a month?

A single tablet of non-steroidal anti-inflammatory drug (NSAID) is unlikely to cause any particular problem, although some individuals may be very sensitive to the drug and a single dose can cause major problems.  The NSAID takes the defensive mechanisms away … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney-Related Health Questions, Laboratory Testing, Medication and Kidney Disease, Medication and Kidney Function, Treatments

I have stage 4 kidney disease and kidney doctor gave me sodium bicarbonate. I also take Verapamil and Lisinopril for blood pressure. My bp is hard to control. Will the sodium bicarbonate raise bp ?

Sodium bicarbonate is used to correct acid accumulation that occurs in patients with chronic kidney disease (CKD).  While is does contain sodium that could raise blood pressure, the goal is to delay the progression of CKD and sodium bicarbonate has … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Laboratory Testing, Medication and Kidney Disease, Medication and Kidney Function, Symptoms and Side Effects, Treatments

I am a mother of a son with kidney disease. He is at Stage 3. His GFR is 30 – 59. Blood Pressure ranges between 120/70 and 130/80 and is on medication Nabathothol (hope spelling is accurate enough). He takes 2 in morning and 2 at night. My question is what risk (he also need hip replacement) is there in getting this surgery in relation to his kidney problem? Will anesthesia given him cause and danger or risk to create a reaction to the kidney disease? Where can I go to get some help and support to become more knowledgeable of his condition. He is incarcerated and in a different state. The distance does not allow me to visit him too often.

I am not familiar with the drug “Nabathothol”. I am unable to make any specific diagnosis based on the information that you present. I am unable to comment on any risks or prognosis for your son without performing a complete … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney-Related Health Questions, Medication and Kidney Disease

Is Rituximab frequently used to treat FSGS (original kidney)?

Focal Segmental Glomerulosclerosis (FSGS) is a relatively uncommon kidney disease. It is commonly divided into primary (of unknown cause) and secondary (of known causes). In cases of primary FSGS, steroids, cyclosporine and other agents are more commonly used. In rare … Continue reading

Posted in Ask the Doctor, FSGS, Kidney-Related Health Questions, Medication and Kidney Disease

I am a kidney transplant patient and had my kidney for 35 years. I now have to have a CAT scan for bowel screening and have been given laxatives but my bowel is very loose. After having diarrhea, and I am worried about taking laxative they have given me. I don’t want it to stop my immune suppressants to stop working or to loose all my fluids.

I agree with you that you should be cautious about bowel preparations. I suggest that you drink clear fluids such as water and sports drinks to make sure you do not get dehydrated. I also suggest that you discuss your … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Medication and Kidney Disease

Hi Dr., Why are antimicrobials (like anti-fungal, antibiotic, and antiviral medications) on the list of “5 Drugs You May Need to Avoid or Adjust if You Have Kidney Disease”? It didn’t really go into detail as to why they were on the list. I understand that with CKD, medication tends to build up but with antimicrobials, what are the effects of their buildup? Second, on the same list, it said that upset stomach/antacid medications can disrupt the body’s electrolyte balance if one has CKD. In what way? Please talk about the pathophysiology of this. Thank you.

There are many different antibiotics and each has a mechanism for clearance from the body and each has unique toxicities when dosages are too high. As mentioned in the article, the kidneys are very important in clearing and metabolizing drugs. … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney-Related Health Questions, Medication and Kidney Disease