Category Archives: Medication and Kidney Function

I was recently diagnosed with a GFR level of 40.5 and 40.3. Besides dialysis what are other treatment options? Are there medicines I can take? Can GFR levels be raised by diet, or medicine?

Treatment of chronic kidney disease (CKD) requires a specific diagnosis and this leads to specific treatment of the underlying disease. I am unable to make a specific diagnosis based on the information that you present.   Things that you can … Continue reading

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

Thank you for info about safe prep for colonoscopy in people with CKD but what about the drugs given during the procedure – which are best and which should be avoided? Also, what drugs are good/bad for oral surgery for dental extractions? Thank you.

The drugs given during a colonoscopy procedure and are usually opiates as pain killers and benzodiazepines or propofol as sedation. These drugs are all safe in patients with chronic kidney disease (CKD). The only exception to this is the opiate … Continue reading

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

Best B/P medication for those with kidney problems, (ACE or Beta Blockers)? Thanks.

There is no “best” blood pressure medication that is specific for chronic kidney disease (CKD). Each person is unique and a physician must look at co-morbid conditions and risk factors for high blood pressure, heart disease and CKD. The choice … 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

Symbicort and Spiriva are both medications used to treat asthma and COPD. Which of the medications has less adverse effect on the kidneys?

Both Symbicort and Spiriva are inhaled medications and do not have any significant effects on the kidneys. You should discuss this with your physician but there is no different from a kidney point of view.

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

I guess I am stage 3 CKD. My doctor wants to do a colonoscopy and the prep is Dulcolax and Miralax. Can these be taken without any damage to my less than perfect kidneys? I am 67 and they have been in the same range for 15 years. Don’t want to live whatever time I am destined to in a dialysis chair.

Dulcolax and Miralax are commonly used for colon preparation prior to colonoscopy in patients with chronic kidney disease (CKD). These should be combined with appropriate hydration. You should avoid any preparation that contains sodium phosphate or magnesium sulfate. Neither of … Continue reading

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

I have been on a blood thinner for many years (Coumadin). I have IGA neuropathy stage 3b. I was wondering if you recommend that kidney patients use the newer blood thinners (eg. Eliquis, Xarelto, pradaxa etc.) as opposed to the older but proven Coumadin.

Coumadin has been successfully used in patients with Chronic Kidney Disease (CKD) for many years and requires regular and usually monthly testing to make sure of proper dosing. Some patients can even monitor their treatment with home testing devices.  The newer … Continue reading

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

If you are given dilaudid and then morphine in the recovery room after a surgery, and given so much in a short time that they realize they can’t release you to go home from your outpatient surgery until you can open your eyes on your own and control your body, and then your blood work shows renal insufficiency a few weeks later, can the renal insufficiency be caused by that situation? If so, is there a way to test for it and a way to fix it? And how do you know if permanent damage has been done?

I am unable to provide a specific diagnosis based on the information that you present. Dilaudid and morphine are both narcotics used parenterally for pain control. I am unable to link these two medications to any kidney injury or kidney … Continue reading

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

Hi Dr. Spry, I’m not sure if there is a relationship between these issues or not. I had laparoscopic gallbladder surgery 6 weeks ago and I haven’t been well ever since. Immediately, following the surgery I had trouble fully emptying my bladder, but was advised that this could be a result of anaesthesia. I felt incredibly fatigued, and I have had on-going range of abdominal discomfort. The discomfort is particularly bad on my right side with lower abdomen and around the waist area being the worst. I started having more obvious symptoms of a UTI, but unlike in the past my bladder felt very inflamed and was extremely painful. To the point that it was difficult to sit up. I finally managed to get a urine test and the results were a UTI with a bacteria that was a bit more challenging to treat. At any rate, the pain and exhaustion, lack of appetite has mildly improved following two weeks of antibiotics. Yesterday, I ended up in the Emergency Room with severe lower abdominal spasms and bloating. Following a second CT scan, I was told that there were dark/black spots on my kidneys and this likely signalled that I had a kidney infection. I have been prescribed a third week of antibiotics to assist with hopefully curing the kidney infection all together. I’m wondering what the dark spots on my kidneys are: CT scan, mean? Apparently, they weren’t noticed on an earlier CT scan performed barely a week before. Is this a typical way to diagnose a kidney infection?? I don’t know if I should seek out more tests. A huge thank you for your time!

I am unable to make a specific diagnosis based on the information that you present. “Dark spots” are not a medical term that means anything to me and that would apply to a computerized tomogram (CT) scan of the kidneys … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Kidney-Related Health Questions, Medication and Kidney Function, Urinary Tract Infection/Pyelonephritis, Urological Issues

My brother has polycystic kidney disease as does his 28 year old daughter. I have been tested and do not have it but my mother has kidney disease and I recently had chemo, Herceptin and radiation for Her2 breast cancer. So wanted to get my kidney function tested. Last year it was 68 and this year it was 63. I am very concerned. I am 55 years old. I stopped taking all Aspirin and NSAIDs, stopped drinking diet soda and started drinking 80 ounces or more water a day. I am also on doxycycline for severely dry eyes 2 a day, 100mg. My questions: Is it safe to take this much antibiotic? Is it safe to take over the counter sleep medicine? (Doxylamine succinate) daily? Are Plexus products ok to use (Metaburn, probio 5, and Bio cleanse)? Thank you for your time. I really want to do everything possible to take care of my kidneys. I exercise, have normal blood pressure, am at a normal weight, no diabetes but I do take 90 mg of Armour Thyroid for hypothyroidism. Thank you for your time.

The normal for estimated glomerular filtration rate (eGFR) is greater than 60 milliliters per minute per 1.73 meters squared. Hence, the numbers that you quote appear to be in the normal range. If you have a normal urine test for … Continue reading

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

Can we use tegicycline tranamexic acid?

I do not have any information about this medication or substance. I have never heard of this compound.  

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