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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
Asked On : Sat, 16 Feb 2013
Answers:  1 Views:  69
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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
Answered: Wed, 31 Jul 2013
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