Category Archives: Medication and Kidney Function

Have three queries for transplant patients 1. When bp is never constant and it goes up when one goes for morning walk or for that matter any physical movement results in bp number. If this is true then why patients are advised to keep blood pressure within a range of 120 to130/80 to 90. Is there any range for max and min after physical exercise. How much mental anxiety or stress impacts BP? 2. Cholesterol reducing medicine mostly statin is prescribed for the patients. Does intake of this medicine for long period of time affect the kidney? 3. Should patients plan volume and timing for this water intake for the day? Thanks doc as always.

The standard way to take blood pressure is to take the blood pressure sitting for 5 minutes.  Exercise and physical activity increase the blood pressure and this is normal.  The normal blood pressures that you quote are for 5 minutes … Continue reading

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

Hello, Dr. Spry, I donated my left kidney in 2014. Since then, I’ve been told I have osteoporosis and should take Fosamax and calcium. Does this regimen have any effect on my kidney?

As long as your remaining kidney has normal function and the estimated glomerular filtration rate is greater than 30 milliliter per minute per 1.73 meters squared, then Fosamax (alendronate) can be used safely to treat osteoporosis.  This should not have … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney-Related Health Questions, Medication and Kidney Function, Nephrectomy / One kidney, Treatments

Medicine to lower the creatinine level?

There are no medications that lower the serum creatinine level.  Treatment is directed at avoiding further loss of kidney function and stabilizing the rise of the serum creatinine. For more information on kidney disease click here:

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

My Father is suffering kidney disease from last 5 years, his current creatinine is 4.52 (tested on Jan 31 2017) and was 4.25 (on Jan 14 2017). In this moment his local doctor gave him some medicine (Amlocal, prajopies, renvela, Dicaltol, Tigiror, Fusict,Feyofax,viscotin etc). Among those Renvela & Viscotin is newly suggested. Doctor suggest us to observe him for 7 days with those medicines, then Hospitalize our patient. After hospitalization, they will give him antibiotic. I have calculated GFR in online and found its already 13mL/min/1.73 m2. By judging the above information, can you suggest me about my father’s treatment?

I am not able to recommend medical treatment without performing a complete history and physical examination. Your father appears to have advanced chronic kidney disease (CKD). I suggest that you continue to consult with your father’s physician as to appropriate … 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

A couple of years ago my mom had to have one kidney removed due to a cancerous tumor. Surgery was the only treatment needed as it had not spread anywhere. She has had a clean bill of heath since then. She deals with restless leg syndrome and chronic insomnia, but is very leary of taking medications that may affect her remaining kidney. I had checked into the use of valerian for a sleep aid, but different sources are conflicting on the effect of it on your kidneys. Is it safe to use, or is there a better alternative for insomnia?

I have no experience with valerian as a sleep aid.  I do not have any information about the use of valerian in patients with chronic kidney disease (CKD).  

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney-Related Health Questions, Medication and Kidney Disease, Medication and Kidney Function, Nephrectomy / One kidney, Symptoms and Side Effects, Treatments

Hello.I am a 40-year-old male.About six months ago I had an ultrasound test of my kidneys, the reason for ultrasound was hematuria. My physician prescribed a capsule, Rowatinex, a herbal drop and a powder to solve in water made of a K (potassium ) salt. I took them for about two months. Ten days ago I had another ultrasound test. There was no discernible stone but based on radiologist report there are several (multiple) tiny bilateral cysts with the milk of calcium. I am so concerned and nervous about these cysts. What are these and what can I do? Are these cysts dangerous? The prostate and bladder are ok. Regards.

I am unable make a specific diagnosis based on the information that you present.  I suggest that you discuss this with your physician.  From your description, you could have something called nephrocalcinosis and you may need to see a nephrologist. … Continue reading

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

My mother has been on dialysis for over 2 years. She has always had loose stools after eating and now is having diarrhea stools daily. Never constipation. Will Probiotics help? And if so, what do I look for? Can she take any anti-diarrhea meds?

I cannot recommend treatments without performing a complete history and physical examination.  Probiotics are generally regarded as safe for patients with chronic kidney disease (CKD).  I suggest that you discuss this with mother’s physician.  

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

My wife had acute kidney failure 12 years ago that was directly related to taking too much ibuprofen. She was taking 800 mg every 4-6 hours for pain post surgery with a minimal amount of water. She did this for about 3-5 days until the pain became unbearable (presumably from her kidneys shutting down and urine retention). Upon admission, she had a creatinine of 8.0. After irrigating her kidneys and “restarting” them to say, her bun/creat and creatinine clearance reverted back to normal. To date, her bun/creat levels have remained at a steady “normal” level, about 18/0.9 respectively. The question I have is can she start taking ibuprofen again as long as she has an adequate amount of water, about 60 oz a day?

I would not recommend that she take ibuprofen if she has had previous experience with kidney failure related to ibuprofen.  There are many different mechanisms whereby ibuprofen can result in kidney failure.  I suggest that you discuss this with her … Continue reading

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

My husband has CKD and also Crohn’s disease. Will he do any further damage to his kidneys by taking Loperamide Hydrochloride which he is taking to alleviate Crohn’s? I look forward to an early reply.

Loperamide (also known as Imodium) is safe for patients with chronic kidney disease (CKD).  As with all medications, you should check with his physician to make sure that loperamide does not interfere with any other medication that he is taking. … Continue reading

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

I was a live donor for my ex-husband and so my kidney functions are checked regularly. About three months ago my creatinine level through blood test was .52. My last test a week ago was 1.06. It’s more than doubled in just three months! What can I ingest that will have a positive impact on my kidney function and hopefully bring this level back down? I have already stopped drinking tap water, which is full of chlorine and other toxins, and switched to spring water bottled at the source. No pork ever. I eat mostly fruit and vegetables. I recently stopped eating these out of the can, just in case of chemicals, and switched to fresh. About the only meat I eat is lean boneless, skinless chicken breast grown organically and flash frozen. I think if I don’t put poisons in my body to begin with, my kidney won’t have to work so hard. At 61 years old is there any other ideas you may have?

A serum creatinine test of 0.52 milligrams per deciliter (mg/dl) seems a bit low for someone with only one kidney.  I suspect that this test may have been in error.  The level of 1.06 seems more believable.  The goal of … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Laboratory Testing, Living Donation, Medication and Kidney Function, Serum Creatinine, Symptoms and Side Effects