The glomerular filtration rate (GFR) slowly goes down as we age, but the rate of decline...
John Raoux, STF / Associated Press
Your regular doctor can tell you whether your rate of GFR decline is worth worrying about. If not, a kidney specialist will certainly do so. It is wise to look carefully at your other medicines, if any, especially including over-the-counter pain medicines, to make sure none of them could be harming your kidneys.
A study published just last year showed that adding vibegron to a prostate treatment such as tamsulosin improved some symptoms of overactive bladder. Often, patients get incomplete relief from treatment of enlarged prostate before seeing a urologist to treat overactive bladder with great improvement.
My family doctor started me on hydralazine at 50 mg twice a day, then 50 mg three times a day. My blood pressure still fluctuated, and I was prescribed 5 mg of clonidine to take as emergency medication for anything over 180/100. Later, metoprolol 50 mg daily was added, then 80 mg telmisartan, then a few months later 5 mg amlodipine. It was not until I started taking the amlodipine that my blood pressure was finally controlled. My morning readings are better and then elevate throughout the day.
My nephrologist recommended I try stopping the hydralazine and instead add an additional 40 mg of telmisartan taken in the morning. My family doctor is of the opinion that because I am under control at the moment, I should change nothing.
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