Category Archives: Medication and Kidney Disease

Dear sir, I am asking on behalf of my brother who is a dialysis patient of CKD. Recently he was not feeling well so we did some blood examinations; his creatinine is 18 and his potassium level is 11. Please help me with some drugs to lower the potassium level. Due to COVID-19 lock-down we are not able to go to higher center to meet the nephrologist. Hope you will help me out as soon as possible. Thank you sir.

Based on the information that you present, your brother should be in the hospital. Despite being in a COVID-19 shut down, your local hospital should be functioning. Your brother should be taken to the emergency room. There are no pills … Continue reading

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

Hi Doc: I have both hypertension and stage 3 kidney disease. There seems to be a nationwide shortage of Valsartan (Diovan) and my local pharmacies can no longer acquire this medication. My question is, are there specific pharmacies that stock medications for patients with kidney impairments?

Most pharmacies are general pharmacies. Some cater to mail order and others may specialize in intravenous (IV) medications. I do not know of any pharmacies that specialize in only kidney medications.

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

How safe is it to take the Ace 2 drug for high blood pressure? I have read the Covid-19 uses that in the cell.

Medications used to control high blood pressure affect the Renin-Angiotensin-Aldosterone System (RAAS). The drugs used to treat hypertension are known as Angiotensin Converting Enzyme Inhibitors (ACE-I) or Angiotensin Receptor Blockers (ARB’s). There are two cellular receptors for Angiotensin. They are … Continue reading

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

Would you provide some basic guidance for those of us with kidney disease in terms of things to avoid? I know of course to avoid NSAIDS as well as alcoholic beverages, but are there other “common” drugs (even foods?) that patients with kidney disease should be aware of? Also, would you recommend that patients with kidney disease wear a medical alert bracelet so in the event of an emergency, providers would know our kidneys are compromised? Thank you.

General recommendations for people with chronic kidney disease (CKD) are to follow a low salt diet. I strongly recommend the DASH diet. You can learn about the DASH diet on our web site at: https://www.kidney.org/atoz/content/Dash_Diet You should exercise and increase … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Diet/Nutrition, Exercise, Herbal Supplements in Kidney Disease/Failure, Kidney-Related Health Questions, Medication and Kidney Disease, Medication and Kidney Function

I’m caring for my pawpaw, and now he’s unfortunately at his end of life stage. He isn’t comfortable having home health or hospice come in, he said it’s too depressing. He is in so much pain, it’s unreal. Can he be denied something strong for pain if he refused hospice or home health? And thank you for your time.

No. Your father’s physician can still prescribe strong narcotics and pain killers for him even if he does not opt for hospice or home health care. He may need assistance with the administration of the pain medication, but if you … Continue reading

Posted in Ask the Doctor, End of Life Issues, Kidney Failure, Kidney-Related Health Questions, Medication and Kidney Disease, Medication and Kidney Function

What is SGLT2 Renal Protection used for?

The sodium-glucose co-transporter 2 inhibitors (SGLT2 inhibitors) are a series of drugs that interfere with salt and sugar transport in the kidney. They cause a loss of both sodium and sugar into the urine. So far, there are three drugs … Continue reading

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

I have a concern for my sister. She is 56 and in stage 2 of kidney disease. She had very low levels of vitamin D. Her doctor put her on the prescription of vitamin D, 50,000 one a week for a month. Then a supplement everyday afterward. Now her daughter told me my sister’s kidney doctor has stopped my sister’s vitamin D a month ago. She was ordering her a medication that was supposed to help my sister’s kidneys and she can’t be on vitamin D while on said medication? I have researched a lot and can’t find an answer to this. My sister’s vitamin D levels are too low, now no vitamin D for a month and the doctor told her she has to be off vitamin D for 3 months before taking this new medication. I’m sorry I don’t have the name of said medication. Just wondering if you had any idea what this might be? My sister suffers from depression among other things. I myself had low vitamin D, so low it did not register on blood work. I took the prescription vitamin D as well and now take a supplement daily. I was very tired, forgetful, etc., because of the low vitamin D. My sister is very depressed right now, always sleeping, tired, etc. Please, if you have any information or idea about why her vitamin D was stopped let me know. Thank you in advance.

I would have no idea why a Vitamin D supplement would be discontinued as a consequence of taking a new medication. There are a number of diagnoses that could be considered, including primary hyperparathyroidism, sarcoidosis, hypercalcemia and many others. Treatments … Continue reading

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

Hello Dr. Spry, This is follow-up to my question: “Is it possible that I could stay at “17” for many months or even several years or am I being just overly optimistic?” You really did not address this. Can I correctly assume there is not a simple response to this question?

Unfortunately, there is no way to know. I do not know why your estimated glomerular filtration rate (eGFR) dropped so fast in one year. This is unusual. Possibilities include lab error, use of non-steroidal anti-inflammatory drugs (NSAID’s), an episode of … Continue reading

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

I have read several articles on the benefits of dapagliflozin (farxiga) not only for diabetic kidney disease but also for other types of kidney diseases. What are your thoughts on this research?

There is considerable evidence that drugs such as Dapagliflozin (Farxiga) and others known as Sodium GLucose co-Transporter 2 (SGLT2) inhibitors improve cardiovascular risk in diabetics and may reduce protein loss in the urine as well as progression of chronic kidney … Continue reading

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

My mother’s kidneys have been functioning at less than 40% for some years now and a cause still hasn’t been determined even after being in an out of the hospital and regular check ins with a kidney specialist. I have never known her to be in good health in my life; so far she has had periods with depression, headaches, back pain, nausea, vertigo, and now kidney related pain. I’m wondering if hypochondria could actually be causing her kidneys to fail or is it actually possible for kidneys to function as hers are without finding a cause for it? Thanks for your time.

I am not aware of any information that hypochondriasis by itself could cause chronic kidney disease (CKD). From your description, if your mother took large amounts of pain medication including non-steroidal anti-inflammatory drugs (NSAID’s) such as Motrin, Ibuprofen, Aleve, Advil … Continue reading

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