Category Archives: Medication and Kidney Function

What is the best solution to use for a cleanse before a colon exam?

Before a colon examination, such as a colonoscopy, I recommend use of laxatives that contain polyethylene glycol plus electrolytes (such brand names as Miralax, Golytely, Nulytely and many others).  I do not recommend Magnesium Citrate or Fleets Phosphasoda.

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

I am male 82 years old. I tested today for 2.0 creatinine. I have been taking for a long period of time 3mg a day of Ativan and 400 mg of Ibuprofen. Could these medicines affect the creatinine level and if so would it raise them that much? About a year ago, it was less than 1.3 and I have only tested again this year to find the high increase.

Ibuprofen can reduce kidney function and should not be taken long term.  I suspect that the abnormalities in your kidney function may be related to the ibuprofen.  I suggest that you stop this medication and then see your primary care … Continue reading

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

I am at stage 4 kidney disease. My question: If I take a multivitamin, like Centrum Silver, will this hurt my kidneys more?

A multiple vitamin such has Centrum is safe for patients with chronic kidney disease (CKD).

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 a kidney eGFR was 38. Then prescribed Metformin 500 mg 1in morning. Now my eGFR is 27. I think it’s because of metformin? Is it possible?

Metformin is a drug used to treat diabetes and should not be used with an estimated glomerular filtration rate (eGFR) less than 30 milliliters per minute per 1.73 meters squared.  Metformin may cause liver injury with a low eGFR but … Continue reading

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

Can the high blood pressure medication Ramipril cause damage to GFR Kidney function? And if it can, what does one take as a replacement to control high blood pressure that doesn’t damage GFR Kidney function?

Ramipril is an angiotensin converting enzyme inhibitor (ACE-inhibitor) used to control blood pressure.  It also has a beneficial long term effect on kidney function. When the drug is first started, the estimated glomerular filtration rate (eGFR) may decline slightly but … Continue reading

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

My father is 75 with CKD and diabetes. Recently he has been treated with corticosteroid and antiviral for Bell’s palsy. Now his creatinine level has raised up from 3.13 to 3.35. Now doctor prescribed acetylcysteine 600 twice a day for 7 days. Is that gonna work anyway to lower/stable the creatinine level?

I am not sure why there has been a slight elevation in the serum creatinine.  This is a very slight increase and my not be significant.  The use of corticosteroids in this situation will cause the diabetes to be much … Continue reading

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

I am in Stage 3 ckd. This has been the case for past 16 years. The medicines that I’m taking are Losartan 50mg and Omega-3 fish oil. Till 2 years ago, I was taking Losartan 25 mg and due to protein leak in urine this was increase to 50 mg. My query is regarding sperm count. Does this increase in Losartan cause a massive decrease in sperm count. i was having just over 20million as the count 2-3 years ago, recent check indicates the count is under 13 million and the ones having rapid progression is zero. This was not the case 2-3 years ago. I’ve been to UK for 2 years and has returned back to India. I used to have fish daily and now I’m having less of that. Other than these I don’t see any difference between now and that time. I was diagnosed with vericocele as well recently. Could you please let me know if the increase of losartan or change in climate or the diet could cause significant decrease in the count and cause vercocele?

The diagnosis of abnormal sperm count and varicocele are usually within the expertise of a urologist.  I am a nephrologist and have no way to comment about your current problems.  I have used Losartan for many years have not heard … Continue reading

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

I have a catheter. I have had it for 15 months (it was placed after I had a triple heart bypass). My problem is that my veins in my arm are to small for a fistula. My Doctor put one in my arm. It didn’t work and there were so much pain in my arm and I lost circulation in the arm. The Doctor went back in and closed it off and started circulation again. The veins in my right leg were used for the bypass. My question is can the catheter be moved from side to side in my chest. The one that being used is one that can stay for 2 yrs. I have an appointment with another vascular Doctor in July.

The best vascular access for long term hemodialysis is a fistula.  A fistula is associated with the best life expectancy compared to any other option that might be available. If you are eligible for a kidney transplant, that would be … Continue reading

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

Hi Doc, I am experiencing the symptoms of kidney disease/failure. I am in a great deal of pain. I need to see someone to address this. I am intolerant to NSAIDS ie Ibuprofen and Naproxen they make me vomit a lot. Any and all ideas on how to get this taken care of would be greatly appreciated.

If you are concerned about kidney disease, you must be examined by your physician and ask to be evaluated. I am unable to make a diagnosis based on the information that you present.  You need to see your physician for … Continue reading

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

Does having epilepsy or a history of seizures exclude a person from being a living donor? I continue to have abnormal EEG readings and am required to stay on Keppra permanently.

Someone who has well controlled seizure disorder could be considered for a kidney donor.  Each individual transplant center has the option to choose who can and who cannot be a kidney donor.  If you wish to be considered for kidney … Continue reading

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