Stage 3 ckd. And not enough money!

Hi Understood. Follow your treating nephrologist advice. You could be having protein leak as you might have developed primary glomerular disease or secondary FSGS. Biopsy in your case is risky hence probably not done. Our goal is to reduce protein leak, slow down kidney disease progression and keep you off dialysis as long as possible. So telmisartan is not just for BP it is for reducing your protein leak and to slow down your kidney disease progression. Initially creatinine might go up after starting telmisartan but be patient it will stabilise usually. Please get a medical insurance and keep it as you may require in future if your kidney disease progresses and you need other treatments including dialysis or kidney transplant. Only trying to keep you informed and not to scare you. Don’t take any pain killers or ayurvedic medications. Restrict your protein intake to 0.8g/kg body weight. Consume low salt in your diet. Regular follow up with your nephrologist will be good.