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Category Archives: Medication and Kidney Disease
Hi, Dr. Spry. I am a 70 year old female who six months ago had a borderline eGFR of 54.9 and since then my test results are now 86. I have severe arthritis effecting my joints, but have been trying to stay away from anti-inflammatory medications until lately I got a prescription for Voltaren Gel 1% because of the pain. I use 8-12 gm a day, but only for about 4 days a week. Is that too much? I also wanted to know if I could take Melatonin to help me sleep at night and what potency? I’ve also been prescribed Tramadol 50mg tablet, but only take it at night when needed and then only 25 mg (cut in half). My Dr’s assistant said I could also take omeprazole if experience stomach issues. Thanks for your time.
I am unable to recommend specific medical treatment without performing a complete history and physical examination. In general, topical agents are safe for patients with chronic kidney disease (CKD). I have even recommended topical Voltaren for daily use in some … Continue reading →
I am a 69 y/o white male (retired) who was diagnosed as a CKD Stage 2 patient 3 months ago. A recent lab work showed that my Bicarbonate levels were High, as well as my Glucose and Alkaline Phosphate levels as well. There was an increase in my Bicarbonate, Sodium, Potassium, Chloride, Glucose, Alkaline Phosphate, Bilrubin Total and Total Protein levels from 3 months ago. What do the recent 3 High levels suggest/indicate in regards to my kidneys? Should my nephrologist be concerned with the increase in the 9 areas from 3 months ago? He has added 2 new blood pressure medications in addition to the one I was already taking. My blood pressure reading in his office this afternoon was 154/64. Am I correct in deducting that the blood pressure medications aren’t doing what they are supposed to do? Also, in the time that I have been seeing him, should a biopsy of my kidneys have been taken? What about Xrays or other tests? Should I be seeing another nephrologist who would take a more personal interest in my condition? Are there any advice that you would recommend? Different types of cancer-including kidney and liver- run in my family and I don’t really feel comfortable with the wait-and-see treatment I feel I am getting.
I am unable to accurately interpret laboratory testing without performing a complete history and physical examination. In addition, I would need to know about the laboratory performing the testing to know accuracy and laboratory normals. An elevation in the tests … Continue reading →
I have one healthy kidney and one that has shrunk down and non-functioning. My back has gone almost out down toward buttock. Can I take a muscle relaxer in order to get relief? Tylenol is not helping and is the only pain relief drug recommended. Stage 3 and GFR- 48.
I have commonly used muscle relaxers in patients with chronic kidney disease (CKD) and done so safely. You will have to consult with your physician to make sure the dose of the muscle relaxer is adjusted to your level of … Continue reading →
Polyethylene Glycol with electrolytes (Brand name Miralax) is safe laxative for patients with chronic kidney disease (CKD).
Does cortisone shots affect kidneys functions?As my husband had acute kidney failure last October and stayed in a hospital for 4 days,the creatinine level was 4.61. And fortunately, his kidneys were regenerated and recovered after 4 days IV and was down to 1.2. Since he was back home, he has blood work every 3 months and back to 1.58. All of a sudden 3 weeks ago, his blood work showed 1.76 that scared us. But he had 3 cortisone shots on his hand 2 weeks before the blood work.Would that cause the number up? Please advise and your prompt attention would be greatly appreciated!
I do not believe cortisone injections should have any effect on the serum creatinine. Cortisone injections can cause some fluid retention but should not make any changes in the serum creatinine or the estimated glomerular filtration rate (eGFR).
I am a psychiatrist and have been using B2 microglobulin for years as a screening tool in my patients taking lithium, in lieu of 24 hr creatinine clearance, for a variety of reasons. Should I be getting serum and urine B2 microglobulin, or is 24 hour creatinine clearance necessary?
Beta 2 microglobulin levels in blood and in some cases urine excretion are commonly elevated in all forms of chronic kidney disease (CKD), but the specificity for CKD is a concern. Other conditions such as multiple myeloma and myeloproliferative diseases … Continue reading →
I am a kidney donor. My Dr wants to give me a cortisone shot in my knee that is buckling due to a fall. Since I only have one kidney are there risks to my single kidney from taking a cortisone shot?
A cortisone shot should not have any significant effect on your remaining kidney function.
Common questions are blood pressure control at home, diet instructions, medication side effects and recommendations for follow up. It is also important to have a general idea as to prognosis for dialysis and transplantation. I also find many questions about … Continue reading →
I have stage 3 ckd, egfr 50-55, 64 years old male.I also have IBS and occasionally get heartburn, reflux, etc. Is it safe to take meds like Gaviscon or Diovol for symptomatic relief?
Yes. Both Gaviscon and Diovol can be used safely in patients with chronic kidney disease (CKD). I would suggest that you also review these medications with your physician to make sure they do not interfere with any other medications that … Continue reading →
In general is it advisable to take a statin drug if one suffers from chronic kidney disease? I have read that some studies have shown that they actually improve gfr slightly.
Statin therapy is indicated for prevention of cardiovascular disease such as congestive heart failure, heart attacks and strokes. While statin therapy may have small effects on kidney function, this is not commonly the reason we use statin therapy. The most … Continue reading →