Category Archives: Medication and Kidney Disease

Hi Doctor, My partner was diagnosed 5 years ago, at the age of 26, with a rare Kidney disease called mesangial capillary glomerulonephritis. He has been on steroid treatment and also cholesterol, blood pressure and other pills. He has suffered with many side effects including depression, mood swings, frequency of urination, dizziness, blurred vision and most recently the beginnings of osteoporosis. I have heard of Chinese Medicine Osmotherapy and read about some studies on www.ncbi.nlm.nih.gov and it seems very effective in treating patients with IgA nephropathy. I was wondering if you think this might work for my partner too? and whether it could be used in conjunction with his current medications? My second question is how likely do you think it would be for us to pass this disease down to a child? Thank you for any help you might give us… I worry about our future family and hope that someone will find a cure soon.

Mesangiocapillary glomerulonephritis (MCGN) is an uncommon kidney disease.  There are many different forms of MCGN that have been described.  Chinese medical osmotherapy is of no benefit in any kidney disease that I am aware. I cannot comment on whether you … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Glomerulonephritis, Hypertension/High Blood Pressure, IgA Nephropathy/IgA Dominant Glomerulonephritis, Kidney-Related Health Questions, Laboratory Testing, Medication and Kidney Disease, Nephrologist, Pregnancy / Kids, Symptoms and Side Effects, Treatments

I am CKD Stage 4. I have high hypertension. I have toxin coming out in my pores as I itch all the time. The metallic taste is horrible. I have chosen to do peritoneal. I don’t heal very well. So I’m begging my nephrologist to please have that installed. She just ignored me. My gorgeous is 22 and creatinine is 1.8. I stay sick all the time. My MD says she needs to get on the ball. Please any insight. Also other is 208 liver enzymes falling.

Your symptoms are consistent with kidney disease and you may benefit from dialysis.  I suggest that you visit with your nephrologist about whether you could benefit from starting dialysis treatments. For more information on dialysis click here:  

Posted in Ask the Doctor, Dialysis, Kidney Failure, Kidney-Related Health Questions, Laboratory Testing, Medication and Kidney Disease, Nephrologist, Symptoms and Side Effects, Treatments

I am searching the web for supplements that will help with Chronic Kidney failure. Do you know if hydrolyzed collegan (for arthritis in knees) will harm the kidneys more?

I am not familiar with hydrolyzed collagen and have no experience with this supplement.  I am unaware of any studies that have been done on patients with chronic kidney disease (CKD) using hydrolyzed collagen.  

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

I have stage 3 kidney disease (gfr 35). My orthopedic surgeon tells me I must take an antibiotic for any dental procedures, including cleanings, due to recent total knee replacement. He prescribed one dose of amoxicillin, one hour prior to my dental cleaning. The dose is quite high, 2000mg (500 mg capsules X 4). Can I safely take this dose without further jeopardizing my compromised kidneys?

Amoxicillin is generally safe for kidney disease as long as the dose is adjusted for your kidney disease.  The dose that you quote, 2000 milligrams, as a single dose is the standard recommendation for prevention of infections after dental treatment. … 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, Treatments

Hi Doctor. I am from INDIA. My mother is age 60. She is diabetic and with hypertension. Taking JANUMET 50/500 MG OD, PINOM 20 MG OD, ATOCOR 20 MG OD. LIVOGEN Z OD. (Hb a1c 6.6, bp 120/80,serum creatinine 1.2, eGFR 50.). Recently underwent cataract with right eye. Given Drops MILFOUX DF 8,6,4,3,2,1. I FORTE capsules OD for 60 days. Is that safe to take this antioxidant for her. She doesn’t have any other problems. She is a vegetarian. Please do let me know. If any need in change of medicines or to stop any.

I am unable to give medical treatment advice without performing a complete history and physical examination.  I suggest that the eye surgeon consult with your mother’s physician about the safety of the medications that she is taking.  It is best … Continue reading

Posted in Ask the Doctor, GFR, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Laboratory Testing, Medication and Kidney Disease

Hello. Can antihistamine nose sprays affect negatively glomerulonephritis patients? I read on the instructions to be careful with these in those who have kidney problems. I suffer from rhinitis, so I started using them. I am 34 years old with stage 2 kidney disease, normal kidney function, blood pressure and no protein in urine.

I have generally used anti-histamine medications in patients with chronic kidney disease (CKD) and found them to be safe.  However, as with all medications, you should discuss this with your physician and make sure that they do not interfere with … Continue reading

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

Dear Sir My wife is on kidney dialysis which is done through a Fistula in her arm. Her hemoglobin has been at 153 for the last 5 weeks. She has been on warfarin for the last 10 years, her renal consultant wants to stop all her anti-coagulation therapy, even though she has had 3 letters from the cardiac unit within the last year, saying my wife must must stay on anti-coagulation therapy. She has Heart problems, she has had a TAVI heart operation, Stent into Illiac Artery, TIA Stroke, Angioplasty 3 Stents, a couple of heart attacks, and Cardioversions. A year ago she turned over in bed and felt a sharp pain she was admitted to hospital and a scan revealed a Vascular Injury, Abdomen, arterial tear to rectus muscle. She was kept in hospital for 48 hours as a precaution my wife was given vitamin K and her warfarin was stopped for 48 hours by the advice of the Cardiac unit, the cardiac unit said that it would be ok to restart the warfarin after 48 hours. She has been back on it for the last year. Would you please give me your opinion, is not dangerous to stop all anti-coagulation therapy given my wife’s heart history and with her hemoglobin being high?

I am not able to give medical treatment recommendations without performing a complete history and physical examination.  I suggest that the cardiology consultants and your wife’s nephrologist confer with each other and make a recommendation based on her risks and … Continue reading

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

Hi, my mother is in stage 3 kidney disease. She has been laxative dependent for many, many, many years. I have been reading and learned laxatives aren’t safe for her. She is 77 years old and eats very little fiber. Is there a fiber powder supplement that is safe for her to use, such as benefiber?

Fiber laxatives are safe, including “Benefiber”.  Laxatives to avoid are mostly magnesium containing laxatives such as Milk of Magnesia and Magnesium Citrate.  Mixtures of Polyethylene Glycol (PEG) with electrolytes are also safe when mixed in water.  Brand names for PEG … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diet/Nutrition, GFR, Kidney-Related Health Questions, Medication and Kidney Disease, Medication and Kidney Function, Treatments

My mother is a diabetic patient since her early age. Now she is 54 yrs. She is having hypertension. Blood-pressure hovers around 130/70 to 145/75 by medications. Recently her creatinine measurement comes around 3.7. Potassium m is 5.7. HbA1c is well controlled for 8 yrs. It comes around 5.5 to 6. Recently I conducted Ultrasound of her lower abdomen which includes kidney, bladder. Size of Right Kidney 8.98 cm, Left kidney- 9.43 cm. USG Report says normal, no stones etc. Only slight Left Renal Parenchymal disease appears. Her Hemoglobin percentage is 8.9 . She is already taking sodium and potassium restricted diet. Doctor advised her to take Nephrosave tablet twice a day. But after taking it for 10 days acute gastrointestinal disorder with nausea, vomiting tendency appeared. On informing doctor he advised me to stop. My question is what is the role of NefroSave? Will it lower Creatinine or lower micro-albuminuria ? Will Kidney function increase by using it ? If it has to be continued then how can she use it without vomiting ? Is it possible to lower the Creatinine level? Please help doctor.

According to information on the Internet “Nefrosave” is a tablet that is available over-the-counter and not as a prescription.  It is a combination of n-acetylcysteine and taurine.  I am unaware of any studies that have examined this particular drug in … Continue reading

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

Have three queries for transplant patients 1. When bp is never constant and it goes up when one goes for morning walk or for that matter any physical movement results in bp number. If this is true then why patients are advised to keep blood pressure within a range of 120 to130/80 to 90. Is there any range for max and min after physical exercise. How much mental anxiety or stress impacts BP? 2. Cholesterol reducing medicine mostly statin is prescribed for the patients. Does intake of this medicine for long period of time affect the kidney? 3. Should patients plan volume and timing for this water intake for the day? Thanks doc as always.

The standard way to take blood pressure is to take the blood pressure sitting for 5 minutes.  Exercise and physical activity increase the blood pressure and this is normal.  The normal blood pressures that you quote are for 5 minutes … Continue reading

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