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Kidney disease and BP meds
An_247445 posted:
Does anyone know blood pressure meds that will not do further damage to kidneys?
john-skpt responded:
Generally ACE inhibitors and Angiotensin Receptor Blockers are thought to be kidney friendly. Sometimes these are given to patients who are losing protein in urine, even if the dose is too low to have much effect on BP. It seems to limit proteinuria.

But no two patients are alike so docs have to tailor things to each case.

Any BP drug might cause serum creatinine to rise even though it is a better long term strategy. The thing to understand about BP and renal function is this: either one can cause the other. If the body senses that blood flow to the kidneys is low, then the kidneys pump out a lot of body chemicals that elevate BP. (They just want better blood flow, even at the cost of causing later damage to themselves.) But high BP from causes other than kidneys can eventually damage them. It can be really difficult to say which came first: high BP or lowered renal function.

So for longer term good, you may need to get used to lab numbers that might look a bit worse over the short term.

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