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Dialysis and Renal transplantation - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Good Posted in: Kidney Conditions
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   Does medication of Metolar AM 50 (Blood Pressure medicine with Metoprolol succinate & Amlodipine) increase serum creatinine level?
Doctor :   Hi
Doctor :   No
Doctor :   But I will help
Doctor :   how much ius the creatinine?
Doctor :   How much is the Cr
User :   I am suffering from Renal Disease. Serum Creatinine level is at 3.79 even after a lot of medication. High BP problem is also there for which I used to take Eslo-Tel 5mg twice daily
Doctor :   ok
User :   Now after advise from a doctor I stopped Eslo Tel as it has talmisartan which can increase cr. and so I started Metolar AM 50 but still in last one month cr level has increased from 2.99 to 3.79
Doctor :   Here I give u few facs
Doctor :   facts
Doctor :   1. Telmesertan is contraindicated in renal failure
Doctor :   but many give the medicine in small doses
Doctor :   It has protective effect on renal failure
User :   Ok sir please go ahead. I used to take Tab. Rocaltrol & Tab Livogen on advise of Nephrologist
Doctor :   2. High BP uncrolled can elevate BP
User :   Which BP medicine should I take then? Metolar AM50 or Eslo Tel
Doctor :   You are in follow up with Nephrologist
Doctor :   Please conitinue the same
Doctor :   Metolar AM50 is ok
User :   No as they seem to take me to dialysis and transplant path which obviously I do not want
Doctor :   but what is reading on this regimen
Doctor :   Ok
Doctor :   what is next Q?
User :   So I am taking advise of Homeopathic medicine? Do you advise on the same also?
Doctor :   I am not familir with that'
Doctor :   I do not recommend
User :   Ok then what is your advice then Dear Sir?
Doctor :   kidney is a vital part. Creatinine levels are going high. control blood pressure below 130/80
Doctor :   Dialysis , Renal transplantation are next good options
User :   Yes with medication of Metolar AM 50 (one tab in morning and half in evening) + Minipress 2.5 mg (One tablet in afternoon) the BP is in 140/90 range
Doctor :   Rocaltrol is calcium VIt D
User :   I thank you Sir/s for your advice. Have a nice day.
Doctor :   You can take minipresss 2.5 two times a day
Doctor :   follow up with ur BP
User :   Right Doctor
Doctor :   Thank you for consulting
Doctor :   Bye
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