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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For High BP When Suffering From Kidney Disease

I am transplant kidney recipient and am immunosuppressed . I had a pneumonia shot 2years ago which attacked my 3rd valve in my heart and started to reject my kidney ,and I am still a working on a long recovery. Main problem now is bp medication I have tried all 4 categories of meds and had no luck with any lots of side effects . I have been on bisoprolol hydraralazine minoxidil since jan Now extreme short of breath fatigue all of the symptoms. No good Also prior to the shot I was on novasc for 11years and had some swelling in the legs I tried Novasc again after the heart failure but the symptoms were even worse with swelling up to the Thighs. Diuretics did not work well as I was up a3-4 times-a night and not urinating properly during the day. I I have been on azathioprmine,methaldopa, norvasc in the past 2years and nothing has been tolerated properly. From jan of last year to nov I had severe bladder infection and had to be on antibiotics for bladder infection. Maybe that is a reason why The meds did not work. I do not know. Today the specialist tells me there is no other blood pressure pills In the 4 categories as I have tried them all and have had too many side effects or it did not lower my BP. I have to find one to live with, either with side effects such as major headaches brain fog, severe edema, tingling shakes etc. ahhhhhh I have lived without my own kidneys for 40 years now been on dialysis and have had 2 transplants. Now I need to find a bp pill and live with the side effect but I do not know which med to take, I am on cyclosporine,I urbane, prednisone Any suggestions would be greatly appreciated. Thank you.
Thu, 11 Jun 2015
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Cardiologist 's  Response
Hello, though want you ask deserves a vast discussion with detailed history, examination and all your latest reports. As you have been to so many specialists and you talk of all the 4 classes of drugs not being able to tolerate. I would suggest new newer alternative. Only is clinidipine. A calcium channel blocker like amlodipine with additional effect of decreasing proteinuria and has less pedal edema. My experience with the drug is good. The send and more recent is aliskerin, it's a direct renin inhibitor similar to ace inhibitors /ARB group with encouraging results in renal transplant patients. You may do some research on the same subject and if required get back. Regards
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Suggest Treatment For High BP When Suffering From Kidney Disease

Hello, though want you ask deserves a vast discussion with detailed history, examination and all your latest reports. As you have been to so many specialists and you talk of all the 4 classes of drugs not being able to tolerate. I would suggest new newer alternative. Only is clinidipine. A calcium channel blocker like amlodipine with additional effect of decreasing proteinuria and has less pedal edema. My experience with the drug is good. The send and more recent is aliskerin, it s a direct renin inhibitor similar to ace inhibitors /ARB group with encouraging results in renal transplant patients. You may do some research on the same subject and if required get back. Regards