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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Hypertension, Dark Urine Color, Dryness, Uncomfortable, Muscle Pain, Kidney Failure, Cough. Help?

I was on 2.5 mg Ramipril for treatment of hypertension and my urine turns a darker colour and there was a strong smell as I progressed with the medication . My nose lining was dry and uncomfortable. I had some coughing and there was muscle pain on the back of my left leg and also somewhere on my right hip. My doctor has now changed to 50mg of Losartan, the muscle pain has reduced, my urine still smells strong, the colour is not as dark. Are my kidneys failing? What will happen if my kidneys continue to fail. I do not see any drop in BP readings, does that mean the dosage needs to be increased? or how long does it take before Losartan works? Many thanks.
Sun, 31 Mar 2013
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Internal Medicine Specialist 's  Response
hi
i think you are diabetic and hypertensive....ramipril saves the kidney.....but if u develop muscle pain change your medicine to losartan......its a disease progression we can slow it with losartan but cant stop it.......hypertensive kidney failure can be stoppped by keeping bp below 130/80 ...but with diabetes u will have kidney failure after 12 years of diagnosis...losartan works in 1-2hrs after taking it...your urine smells coz with mild to moderate kidney failure infectios are come ,...get antibiotics and strict bp control woth losartan
take care
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Hypertension, Dark Urine Color, Dryness, Uncomfortable, Muscle Pain, Kidney Failure, Cough. Help?

hi i think you are diabetic and hypertensive....ramipril saves the kidney.....but if u develop muscle pain change your medicine to losartan......its a disease progression we can slow it with losartan but cant stop it.......hypertensive kidney failure can be stoppped by keeping bp below 130/80 ...but with diabetes u will have kidney failure after 12 years of diagnosis...losartan works in 1-2hrs after taking it...your urine smells coz with mild to moderate kidney failure infectios are come ,...get antibiotics and strict bp control woth losartan take care