Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
141 Doctors are Online

Have diabetes, high blood pressure. Increased creatinine serum. Prescribed Lasix. Options?

Hello, It s Faheem from Islamabad Pakistan. I need some advise from you regarding my father s Kidney . My Father is 57 years old,diabetic with high blood pressures usually 160/80 170/90. His sugar level is bit controlled but as per Doctors advise his sugar is maintained due to kidney issue. His latest creatinine serum is 4.16 which increased in last 3 months from 1.98. Medicine he is taking are Lipiget, Loprin, Stress tab, Ammryl,Lophos,Hydrolyzine. He was also using Aproval 300mg but doctor discontinue as increase in creatinine. After h doctor advised to take Lasix 40mg (2 times a day) and mini press 1mg (3 times a day) but creatinine goes to 4.16 from 3.07. Now the doctor is advising to go for testing tissues in the kidney , we have stopped using Lasix and Minipress for the time being could you please advise any option.
Asked On : Sun, 24 Mar 2013
Answers:  1 Views:  161
Report Abuse
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Medical Topics
Internal Medicine Specialist 's  Response
Thanks for being with us.

Diabetes and hypertension if not adequately controlled leads to gradual decrease in kidney functioning over a period of time.

Here in father's case also same factors could be responsible for kidney injury and increase in creatinine level.Drugs like ACE inhibitors and ARBs also decrease kidney function further,hence these should be avoided.

There is no harm in using lasix and minipress in this case.Lasix increases urine output,avoids fluid overload and help in decreasing blood pressure.Minipress is also safe to use in this case to decrease blood pressure.

Following parameters should be monitored while being on these drugs:
1.serum k+,na,
2.serum calcium,po4,
3.serum uric acid.

My suggestion is have strict blood sugar control and blood pressure control to avoid further kidney damage.

Target blood pressure should be 110/70 mm of hg in this patient.

Hence for better monitoring get a nephrologist opinion.

Hope this will help you better.
Wish you good health.

Answered: Mon, 25 Mar 2013
I find this answer helpful

 1 user finds this helpful

Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]


Loading Online Doctors....
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor