Category Archives: Medication and Kidney Function

My husband is 62 yrs old. His creatinine level was 105 last year and up to 213 this year with GFR 29. He has sciatica pain and have undergone epidural last June. He has also undergone robotic surgery of his prostrate last Nov and at the moment is still monitoring his PSA which was maintained. How could the creatinine jumped so tremendously, could it be due to the painkiller he’s taking for the sciatica or the blood pressure medicine? His daily intake of medicines include: 1 no. 10mg Triplixam 1 no. Concor 5mg, twice daily, 2 nos. GlumetDC 500mg twice daily and 1no. Simvastatin 10mg once daily. For sciatic he’s trying to limit once per day (tho’ doctor said he can take 3 times a day) 1 no. Acugesic 50mg and Uphamol 650mg. Please advise what is causing the jump and what medicine he should be avoiding. Please also advise what treatment is best to take to improve his condition.Thanks.

I am unable to provide a specific diagnosis for kidney disease based on the information that you present. I can only recommend that you discuss your husband’s condition with your physician and see if further testing is needed in order … Continue reading

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

Although I do not suffer from hypercholesterolemia I am on statins, which put my cholestorol level well bellow the normal range. When filling in an application for travel insurance if I say that I am taking statins then the insurer immediately infers that I am suffering from hypercholesterolemia, which is not the case, at least in the normal sense of the word because what I am suffering from is CRF. Because of this, should I say that the statins are being taken as medication for the treatment of the CRF condition and not for the treatment of hypercholesterolemia?

Cardiovascular disease (heart disease and stroke) are the two most common causes of death in patients with chronic kidney disease (CKD), hence, the cholesterol medications that you are taking (statins) are administered in order to prevent death from heart disease. … Continue reading

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

I have had a kidney transplant for 39 years. I received it when I was 17 years old. It was a cadaver transplant. I was on Imuran and Prednisone for many years. Last year I was switched to Cell Cept instead of Imuran because of pancreatitis. I now have chronic pancreatitis. I live outside of the US so do not have access to good nephrology care. My question is what can be done about the diarrhea caused by the Cell Cept? I take 500mg twice a day. My creatinine has always been 1.1 or less. I have stomach ulcers, and in one knee, the femur bone has avascular necrosis and I had two strokes in the last three years.

Mycophenolate Mofetil (Cell Cept) is an immunosuppressive drug used to prevent rejection of a kidney transplant and is commonly used when azathioprine (Imuran) cannot be used. It does have significantly different side effects including stomach problems such as nausea, vomiting … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Medication and Kidney Function, Nephrologist, Transplantation

I was diagnosed with Type III collagenofibrotic glomerulopathy in March 2015. My GFR is stage 3B, hovering around 33%. This past week I was diagnosed with multiple myeloma or MGUS [bone marrow biopsy approval pending with insurance company]. My current medications are Benazepril hcl 10mg, Allopurinol 100 mg, Verapamil ER 120mg. Will any medication for the myeloma be counterproductive to the kidney disease?

I cannot anticipate what treatment will be recommended for multiple myeloma.  There are a number of treatments that are used.  Untreated multiple myeloma can injure kidneys and make underlying kidney disease worse, hence, I recommend that you wait for a … Continue reading

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

My GFR test is as follows. 2013/60 – 2014/58 – 2015/60 – 2016 – 53 – 2017/44.8. I have been on Protonix and or a generic version of it (Omeprazole) for many years.. Probably 20 or more. Am I in trouble?

I am unable to make a specific diagnosis about your kidney disease based on the information that you share.  I recommend that you discuss your concerns with your primary care physician (PCP).  It is true that in some cases, medications … Continue reading

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

My twin sister and I have to to get a MRI or a CT scan to check our aorta every year or two. My sister had a MRI with contrast a year ago and the following day her right leg swelled up and it has continued and is now getting worse around her knee. I had a CT with contrast done a few weeks ago and I had bad pain in my back on the left side. Are we having issues with our kidneys. My sister has gone to emergency room but they don’ t seem to be looking at the kidney. And this all started after the MRI.

I am unable to diagnose any form of kidney disease based on the information that you present.  Magnetic resonance Imaging (MRI) contrast is not known to be toxic to the kidneys, although contrast used for computerized tomography (CT) scanning can … Continue reading

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

My fiance in the Philippines was diagnosed last month with CKD. He went to another nephrologist for second opinion because he doesn’t want to go through dialysis. Will his body be able to take all the toxins. I don’t know how to convince him to go through dialysis. I still have to petition him so he can come here and have close monitoring treatment. Our son is excited to see him soon and I want him to be alive and well by that time happens.

I am unable to make a specific diagnosis based on the information that you present.  I cannot determine the cause of the chronic kidney disease (CKD) or the proper treatment.  I suggest that your fiancé continue to consult with his … Continue reading

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

I am puzzled. I have exhibited symptoms of CKD and those symptoms have remained consistent at 2.0 for about a year now. I am frightened that my CKD may decline in the near future and I am fearful of having, in that event, to drive from my home at Lake Chapala in Mexico to nearby Guadalajara (about one hour each way) for treatment and At 76 years of age, am unwilling to go through that although I am told that death would be the alternative. No one ever elaborates on the potential suffering and declines experienced by those electing to die rather than go through the torture (as I define it) of onerous treatment on a machine several times a week. Tell me, please, keeping in mind that I am in my mid-70s and come from a family where men rarely live to that age, if I refuse treatment, what may I anticipate in terms of declining health and ultimate demise if I refuse treatment. I do not fear your response.

I am not able to provide a prognosis without performing a complete history and physical examination.  You have the right to make decisions about participating in dialysis treatments or merely leading your life as long as you can and as … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Dialysis, End of Life Issues, GFR, Kidney Failure, Kidney-Related Health Questions, Medication and Kidney Function, Symptoms and Side Effects, Treatments

I will be having my first colonoscopy (routine) in a few weeks. I have polycystic kidney disease with no issues at this time. In 2009 I had a cancerous cyst removed near my right kidney and the doctor removed my adrenal gland. The surgery was successful as the cancer was contained in the cyst. I have given the doctor information on my medical history and they recommend my prep be Suprep. My spouse had a colonoscopy a few years ago and he had Prepopik which he said was very tolerable. Unless there is a medical reason I would like to have the prep Prepopik. The lady at the front desk said the doctor would decide what is best for me but I did not like her approach. I have not spoken with a doctor or nurse at this facility. Is there a reason for me not to have the Prepopik. I am thinking of canceling my colonoscopy.

In general, if your estimated glomerular filtration rate (eGFR) is normal, most colonoscopy preparations are safe to take.  Both Prepopik and Suprep contain magnesium, which is not recommended if you have an eGFR of less than 30 milliliters per minute … Continue reading

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

Hello sir. I am a 58 years old male with a body weight of 65 kg. I had kidney transplantation 22 years ago. At the moment my anti-rejection medications are: Cyclosporine 100 mg/ day Azathioprine 25 mg/ day Prednisolone 2.5 mg / day. I take medications for hypertension (enalapril) and mild diabetes (gliclazide since 2 years ago). My question is: Can I stop taking prednisolone to slow down my diabetes progress?

If you have had a successful kidney transplant for 22 years, I would not recommend any change in your treatment.  You have been very successful with your transplant and it would not be a good idea to change treatment that … Continue reading

Posted in Ask the Doctor, Medication and Kidney Function, Symptoms and Side Effects, Transplantation, Treatments