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Need help regarding telma 20
I have CKD and was stable with a creatinine level of 2.2, urine creatinine around 19, and 1+ proteinuria for the past three years. My nephrologist prescribed Telma 20 to manage proteinuria, though I have no high blood pressure or diabetes. After starting Telma 20, my creatinine rose from 2.2 to 2.6 and remained there for three months. When the dose was doubled, it increased to 2.76, after which the doctor stopped Telma. Despite this, my creatinine rose further to 2.8, 2.9, and recently to 3.04. Additionally, my protein-creatinine ratio fluctuates, with protein rising to 90 and the ratio increasing to 4.7. My proteinuria now alternates between 1+ and 2+. I also stopped Septran (taken twice weekly) after my creatinine reached 2.8. I currently take Nodosis (three times daily), Cretlow (twice daily), Bun Proforte (twice daily), Docxis Q10, and Dapadoc on alternate days. Despite regular nephrology consultations, I am concerned about my CKD progression and seek further guidance.
Answers (2)
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Your diagnosis is adult onset nephrotic syndrome secondary to some glomerulonephritis. Glomerulonephritis is a progressive disease. It maynot be cured in all cases but treatments are available to decrease the rate of progression.
Next Steps
You need kidney biopsy to know the cause if the kidneys are biopsable.
Health Tips
Protein restricted diet
Lifestyle measures
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2.2 creatinine at ur diagnosis would gfr rate had put you in ckd stage 3 and he started you on telma cause u had protenuria of around 4.5 gms which is the reason for your rapid kidney progression.Im not sure if a biopsy was done to assess risk of damage or percentage of damage .the nephrologist has put you on the available options for preventing kidney disease progression.
Next Steps
your kidney disease is a progressive disease the controllable factors are protenuria,salt intake and smoking,bp
Health Tips
take a vegetarian protein rich diet and avoid non veg protein.if your kidney size is normal go for a biopsy to see what is going on
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.