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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Swollen Foot, Dullness, Tiredness, Fluctuating BP. Have Hypo Plastic Kidney. Taking Cardace, Cilacar. Further?

I have one hypo plastic kidney and my BP is always fluctuating it goes upto 140/110. I am on medication for the same. I have cardace H 10mg 2 tabs per day, cilacar 5mg and 10mg 1 each daily moxivas .3mg 1 tab and ecosprinAV 75mg 1 tab but still I have little swelling in my foot , dullness and tiredness. Please help and let me know what is the problem
Wed, 31 Jul 2013
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Nephrologist,  's  Response
I am sure that you must have been given this diagnosis after thorough evaluation.To put in simple terms ,you are having CKD-Hypertension.
You need to take the drugs which adequately control BP,are renoprotective & devoid of side-effects as much as possible.I would therefore like to alter your prescription as under-
1.Change over Cardace H to Telma 40 mg BD
2.Change over Cilacar to tab Aldactone 25 mg OD
3.Tab Amdip 10 mg OD
4.Stop Moxavas
5.Titrate doses to attain target BP - _6.Most important will be restrict Salt intake to 4 gm daily & fluid intake to around 2.5 lit daily
I feel all these measures shall be able to both adequately control BP & take care of other symptoms you have.
Best of luck
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Swollen Foot, Dullness, Tiredness, Fluctuating BP. Have Hypo Plastic Kidney. Taking Cardace, Cilacar. Further?

I am sure that you must have been given this diagnosis after thorough evaluation.To put in simple terms ,you are having CKD-Hypertension. You need to take the drugs which adequately control BP,are renoprotective & devoid of side-effects as much as possible.I would therefore like to alter your prescription as under- 1.Change over Cardace H to Telma 40 mg BD 2.Change over Cilacar to tab Aldactone 25 mg OD 3.Tab Amdip 10 mg OD 4.Stop Moxavas 5.Titrate doses to attain target BP - _6.Most important will be restrict Salt intake to 4 gm daily & fluid intake to around 2.5 lit daily I feel all these measures shall be able to both adequately control BP & take care of other symptoms you have. Best of luck