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Polycystic Kidney Disease& Kidney Cysts

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PKD & Kidney Cysts

Polycystic kidney disease (PKD) is a group of disorders that result from the formation and progressive enlargement of cysts in the kidneys without dysplasia, usually leading to renal failure.

Kidney Patients: Under 8 Conditions, You Can Stop Medicine

2018-10-21 08:25

Kidney Patients: Under 8 Conditions, You Can Stop MedicineKidney patients are most concerned about the relapse of kidney disease, so from the diagnosis of kidney disease, they have to eat various medicine, and dare not stop medicine. Then do they have to take medicine for lifetime? In fact, the indications of drug withdrawal in kidney patients are not determined by such cases as "urine protein turns to negative", "normal blood pressure" or "renal function improvement", but need to be considered comprehensively, such as primary disease, pathological type, whether hormone dependence, how low blood pressure can be reduced, drug side effects, and the total duration of medication. So, when you have one of the following 8 conditions, congratulations, you can reduce or stop medications.

1. If yo do not tolerate the use of ACEI or ARBs, you can stop medicine.

Kidney patients with hypertension need to take long-term medication of ACEI and ARBs. Although these anti-hypertensive drugs are effective in reducing blood pressure and proteinuria, their side effects can make some patients unable to tolerate, resulting in a lot of discomforts, such as headache and cough. If similar intolerance occurs, patients are advised to discontinue or switch to other medications. In addition, this kind of blood pressure medicine can cause the rise of creatinine and blood potassium. If the rise is obvious, especially in patients with renal insufficiency, stopping the medicine should be considered.

2. If steroids have been used for a long time, you can stop medicine slowly.

Patients who use hormones for more than one year or even two years, are more sensitive to hormones, and control their condition stable, can gradually reduce the amount of steroids under the guidance of doctors until they stop taking them completely. In case of relapse, a small doses of steroids can be taken to maintain stability.

3. Adjuvant medicine can be stopped.

Because of anemia, calcium deficiency, and vitamin deficiency, not a few renal patients need to take some adjuvant medicine, for example, iron tablets, phosphorus binders, calcium, vitamins, etc to cooperate the medications to treat kidney disease. When illness condition gets stable, steroids can be stopped, but the adjuvant medicine can not be stopped suddenly. You should take them for a period of time to reinforce the effect and then stop them.

4. Medicine can be stopped if you have decreased vision.

One of the side effects of long-term use of hormones is impaired vision, so when the condition is stable, drugs can be reduced or discontinued. If you're afraid of relapse, use other medications with your doctor's approval.

5. Stop medicine when liver function is damaged or white blood cell is reduced apparently.

One of the side effects of using immunosuppressive agents is that the liver function is damaged or the white blood cells are reduced, and the drug should be stopped immediately. When the amount of white blood cells return to normal or the liver function is improved, you can decide whether to take immunosuppressants or not.

6. Stop medicine when calcium level increases.

When you take calcium supplements, it may cause a significant increase in blood calcium. In such a case, it is recommended to stop using calcium supplements. When it is normal, you can decide whether to continue the medicine or not.

7. Medicine that can worsen kidney disease should be stopped as early as possible.

Some drugs cause nephrotoxicity, for example, antibiotics, non-steroidal anti-inflammatory and analgesic drugs, anesthetics, contrast agents, cyclosporine A, etc. But in some cases, they have to be used. If aggravating the disease, it is recommended to stop as soon as possible.

8. It is suggested to stop medicine if long-term sufficient use of the hormone has no obvious effect.

Hormones or steroids are not suitable for all patients. Some patients with membranous nephropathy have no effect with hormones alone, so the combination of "hormone + immunosuppressive agents" is most commonly used. If the effects of hormones are not obvious and the sensitivity to hormones is poor when sufficient steroids have been used for a long time, it is recommended to reduce the dosage of steroids until it is completely stopped.

Kidney disease has two characteristics: one is easy to relapse, the other is easy to progress into uremia. Therefore, it is very important and necessary to have medical treatment and regular checkups. Do not stop or reduce the medicine without the instructions of doctors. For more information on kidney disease treatment, please leave a message below or contact online doctor.

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