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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Decreased Urine, Pus Cells Found. CKD 4 Level Patient, Prescribed Cepodem. Is It Correct Medication ?

My mother urine out put decresed c u e shows pus cells she is ckd 4 level patient our nephrologist priscribed cepodem xp325 daily two for 5 days is it good medicine? Why my mother urine out put decresed due to urine infection or accumulation of water in the body she is taking frusenic 100 mg daily one and aldactone 25 mg daily one to flush out water from the body her in take of water 1.5 litre per day and her out is 500 ml per day kindly suggest me what to do next.
Thu, 4 Apr 2013
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General & Family Physician 's  Response
Hello,

Thanks for posting your query.

As you mother is having advanced chronic kidney disease in which kidney dose not work properly and water and toxin excretion is compromised, leading to water retention and swelling. For that she is on diuretics frusenic and aldactone. UTI is common in women and may worsen the condition. You should continue antibiotic cepodem xp325 prescribed by doctor according to advise.

However first line of treatment of UTI in advanced CDK is Pivmecillinam for 3 days.

Hope it helps.

Take Care!
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Decreased Urine, Pus Cells Found. CKD 4 Level Patient, Prescribed Cepodem. Is It Correct Medication ?

Hello, Thanks for posting your query. As you mother is having advanced chronic kidney disease in which kidney dose not work properly and water and toxin excretion is compromised, leading to water retention and swelling. For that she is on diuretics frusenic and aldactone. UTI is common in women and may worsen the condition. You should continue antibiotic cepodem xp325 prescribed by doctor according to advise. However first line of treatment of UTI in advanced CDK is Pivmecillinam for 3 days. Hope it helps. Take Care!