HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Hello Doctor I Am Suffering From Hypothyroidism And Hypertension Since

default
Posted on Thu, 20 Feb 2020
Question: Hello Doctor
I am suffering from hypothyroidism and hypertension since last 20 yrs..I am also having anxiety disorder..I am in CKD STAGE 3 A..My creatinine level is 1.42 mg Urea 30 ALBUMIN normal electrolyte normal HB 14.2..DIABETES negative..I am on following medications
TELMA 80 H
LIPAGLYN FOR HIGH TRIGLYCERIDES
THYRONORM 100MCG
FLUVOXIN CR FOR ANXIETY
NEFROACT
I have started on Globac Z which are iron supplements as preventive measure which contains ferrous fumarate 150mg vitamin b12 and folate..Are my medicines correct sir? I am strictly on vegetarian diet since last 15 days..I used to eat lot of non veg..Have left non veg..On total veg diet now..
default
Follow up: Dr. Ravi Bansal (0 minute later)
Hello Doctor
I am suffering from hypothyroidism and hypertension since last 20 yrs..I am also having anxiety disorder..I am in CKD STAGE 3 A..My creatinine level is 1.42 mg Urea 30 ALBUMIN normal electrolyte normal HB 14.2..DIABETES negative..I am on following medications
TELMA 80 H
LIPAGLYN FOR HIGH TRIGLYCERIDES
THYRONORM 100MCG
FLUVOXIN CR FOR ANXIETY
NEFROACT
I have started on Globac Z which are iron supplements as preventive measure which contains ferrous fumarate 150mg vitamin b12 and folate..Are my medicines correct sir? I am strictly on vegetarian diet since last 15 days..I used to eat lot of non veg..Have left non veg..On total veg diet now..
doctor
Answered by Dr. Ravi Bansal (20 hours later)
Brief Answer:
Medicines are ok

Detailed Answer:
Hi,
you have early kidney disease.

things you should avoid are, pain killers, non veg food, protein supplement powders and any indeqenous medicines where the effect is not known.

your medicies are ok. try to discuss use of sodium bicarbone tablet with your treating doctor, might help in starting them in small dose.

keep your BP less than 130/80 and continue other medicines. keet track of kft test every 2 months.

best wishes
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
doctor
Answered by Dr. Ravi Bansal (0 minute later)
Brief Answer:
Medicines are ok

Detailed Answer:
Hi,
you have early kidney disease.

things you should avoid are, pain killers, non veg food, protein supplement powders and any indeqenous medicines where the effect is not known.

your medicies are ok. try to discuss use of sodium bicarbone tablet with your treating doctor, might help in starting them in small dose.

keep your BP less than 130/80 and continue other medicines. keet track of kft test every 2 months.

best wishes
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
default
Follow up: Dr. Ravi Bansal (30 minutes later)
Dear Sir  I want to ask whether TELMISARTAN and LIPAGLYN(Saroglitazar) also lead to increase in creatinine? 2. Is Globac Z a safe supplement to take ..It contains 157mg of ferrous fumarate which is 50mg of elemental iron.I am taking once a day..is it safe? 3.Is it necessary to take Nefroact which is Taurine plus acetyl cysteine tablets? I am strictly maintaining CKD veg diet with good BP control below 130/90..I have completely stopped Non veg..Can I taken chicken or fish or avoid it completely.. My creatinine values varies from 1.1mg till 1.7mg in last 14 years..When it came as 1.7mg I was taking a combination of statin plus fenofibrates..I stopped then and creatinine dropped to 1.4mg/dl.. It never went above 1.5mg after 2012.. So kindly give your opinion whether I am on right treatment plan?I also do yoga and walk 30 minutes a day.. Thank you..Kindly reply asap..I will be obliged. Regards  Ankur Dua
default
Follow up: Dr. Ravi Bansal (0 minute later)
Dear Sir  I want to ask whether TELMISARTAN and LIPAGLYN(Saroglitazar) also lead to increase in creatinine? 2. Is Globac Z a safe supplement to take ..It contains 157mg of ferrous fumarate which is 50mg of elemental iron.I am taking once a day..is it safe? 3.Is it necessary to take Nefroact which is Taurine plus acetyl cysteine tablets? I am strictly maintaining CKD veg diet with good BP control below 130/90..I have completely stopped Non veg..Can I taken chicken or fish or avoid it completely.. My creatinine values varies from 1.1mg till 1.7mg in last 14 years..When it came as 1.7mg I was taking a combination of statin plus fenofibrates..I stopped then and creatinine dropped to 1.4mg/dl.. It never went above 1.5mg after 2012.. So kindly give your opinion whether I am on right treatment plan?I also do yoga and walk 30 minutes a day.. Thank you..Kindly reply asap..I will be obliged. Regards  Ankur Dua
doctor
Answered by Dr. Ravi Bansal (18 hours later)
Brief Answer:
You will be fine

Detailed Answer:
Hi,
combination of statin and finofibrate should be avoided. telmisartan can increase creatinine, but if it is not increasing creatinine it should be continued. lipaglyn non known to cause kidney toxicity. chiken and fish can be taken but your protein intake should not be more than 0.8 gm per kg per day. take help of ditecian to plan it.

overall your disease is stable as you have informed so no need to worry

best wishes
Above answer was peer-reviewed by : Dr. Kampana
doctor
doctor
Answered by Dr. Ravi Bansal (0 minute later)
Brief Answer:
You will be fine

Detailed Answer:
Hi,
combination of statin and finofibrate should be avoided. telmisartan can increase creatinine, but if it is not increasing creatinine it should be continued. lipaglyn non known to cause kidney toxicity. chiken and fish can be taken but your protein intake should not be more than 0.8 gm per kg per day. take help of ditecian to plan it.

overall your disease is stable as you have informed so no need to worry

best wishes
Above answer was peer-reviewed by : Dr. Kampana
doctor
default
Follow up: Dr. Ravi Bansal (2 hours later)
Dear Sir As I have anxiety disorder too I panic a lot..I am just 41 yrs old..I am having total veg diet..Avoiding sodium potassium..I have froth/bubbles in urine..Latest urine routine microscopy showed 10mg/dl which are traces of protein in urine..Urea earlier remained upto 25mg..In latest report it was 31mg.. so wat can be done? I am strictly on veg diet..And above reading were after non veg diet.. Can alcohol be taken or strictly prohibited? This is my last question..Kindly also tell which are tablets of sodium bicarbonate which can be taken and what dose? After following your recommendation I will personally come at your CLINIC and meet you.. Regards
default
Follow up: Dr. Ravi Bansal (0 minute later)
Dear Sir As I have anxiety disorder too I panic a lot..I am just 41 yrs old..I am having total veg diet..Avoiding sodium potassium..I have froth/bubbles in urine..Latest urine routine microscopy showed 10mg/dl which are traces of protein in urine..Urea earlier remained upto 25mg..In latest report it was 31mg.. so wat can be done? I am strictly on veg diet..And above reading were after non veg diet.. Can alcohol be taken or strictly prohibited? This is my last question..Kindly also tell which are tablets of sodium bicarbonate which can be taken and what dose? After following your recommendation I will personally come at your CLINIC and meet you.. Regards
default
Follow up: Dr. Ravi Bansal (2 minutes later)
Please tell is GLOBAC Z safe to take..It is 157mg of ferrous fumarate equivalent to 50mg elemental iron.. it contains vitamin B12 and Folate as well.. Regards
default
Follow up: Dr. Ravi Bansal (0 minute later)
Please tell is GLOBAC Z safe to take..It is 157mg of ferrous fumarate equivalent to 50mg elemental iron.. it contains vitamin B12 and Folate as well.. Regards
doctor
Answered by Dr. Ravi Bansal (6 hours later)
Brief Answer:
globac is safe

Detailed Answer:
Hi,

you are already doing everything which is needed

alcohol should be avoided

sodium bicarbonate should be used under guidence of your treating doctor i cannot prescribe without examining the patient

globac Z is ok

take care dont worry so much

Above answer was peer-reviewed by : Dr. Prasad
doctor
doctor
Answered by Dr. Ravi Bansal (0 minute later)
Brief Answer:
globac is safe

Detailed Answer:
Hi,

you are already doing everything which is needed

alcohol should be avoided

sodium bicarbonate should be used under guidence of your treating doctor i cannot prescribe without examining the patient

globac Z is ok

take care dont worry so much

Above answer was peer-reviewed by : Dr. Prasad
doctor
default
Follow up: Dr. Ravi Bansal (1 hour later)
Dear sir I want to ask you one general question CAN CKD REMAIN STABLE FOR LIFE TIME IF ALL PRECAUTIONS AND REGULAR TESTS ARE DONE WITH ALL MEDICATIONS TAKEN AS PRESCRIBED?
default
Follow up: Dr. Ravi Bansal (0 minute later)
Dear sir I want to ask you one general question CAN CKD REMAIN STABLE FOR LIFE TIME IF ALL PRECAUTIONS AND REGULAR TESTS ARE DONE WITH ALL MEDICATIONS TAKEN AS PRESCRIBED?
doctor
Answered by Dr. Ravi Bansal (25 hours later)
Brief Answer:
Can't say

Detailed Answer:
Hi, it cannot be predicted.

But long term 10 to 20 yrs also kidneys can remain well.

Relax, don't think so much.

Above answer was peer-reviewed by : Dr. Prasad
doctor
doctor
Answered by Dr. Ravi Bansal (0 minute later)
Brief Answer:
Can't say

Detailed Answer:
Hi, it cannot be predicted.

But long term 10 to 20 yrs also kidneys can remain well.

Relax, don't think so much.
Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Ravi Bansal

Nephrologist

Practicing since :1996

Answered : 359 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Hello Doctor I Am Suffering From Hypothyroidism And Hypertension Since

Hello Doctor I am suffering from hypothyroidism and hypertension since last 20 yrs..I am also having anxiety disorder..I am in CKD STAGE 3 A..My creatinine level is 1.42 mg Urea 30 ALBUMIN normal electrolyte normal HB 14.2..DIABETES negative..I am on following medications TELMA 80 H LIPAGLYN FOR HIGH TRIGLYCERIDES THYRONORM 100MCG FLUVOXIN CR FOR ANXIETY NEFROACT I have started on Globac Z which are iron supplements as preventive measure which contains ferrous fumarate 150mg vitamin b12 and folate..Are my medicines correct sir? I am strictly on vegetarian diet since last 15 days..I used to eat lot of non veg..Have left non veg..On total veg diet now..