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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Kidney Problem, High Bp, Body Swollen. Can I Ask Doctor Online?

Hi, my mother (59years) has been diagnosed with Polycystic Kidney Disease (PKD) and her creatine level is 2.3. She had high bp (~180/90) without tablets before, which is now under control with Tablets (Amlokind 1-0-1 and Arkamin 0-0-1). Her current BP ranges from 130/80. However she has palpitations and she can feel her heart pounding. Her pulse rate is always 90, Maximum 108. She had continuous sleepless nights due to which she went to depression and Doctor prescribed her Mirtax 7.5 and Lonazep MD each night. Now we see her feet and face is bit swollen. We are unsure of next tests/exams. Please advice. Much thanks.
Sat, 27 Jul 2013
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Nephrologist 's  Response
I suggest that you discontinue Arkamine & start Tab Telmisartan 80 mg HS.
Then gradually cut down Amlokind to 1 tab a day.
Also have blood tests done for Thyroid.
She must control her salt intake to 3.5 gms per day
Protein intake should be restricted to 40 gm per day
Convey the response after 15 days of undertaking these measures
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Kidney Problem, High Bp, Body Swollen. Can I Ask Doctor Online?

I suggest that you discontinue Arkamine & start Tab Telmisartan 80 mg HS. Then gradually cut down Amlokind to 1 tab a day. Also have blood tests done for Thyroid. She must control her salt intake to 3.5 gms per day Protein intake should be restricted to 40 gm per day Convey the response after 15 days of undertaking these measures