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Cinod 10 MG Tablet Health Feed

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Asked for male, 25 years old from Meerut
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I am 59 years old having ckd with hypertension. My latest test reports says that my s.creatinine - 0.76,bl. Urea-57, haemoglobin - 8.10, serum potassium-4.9 and serum sodium-141 and urine test were as follows. Albumin - 4+ and rbc-10-12 sugar - nil crystal- nil casts - nil pus cell - 0-2 and epithelial cells-nil. My blood pressure remains 135/80 always. I measure it every 4 hours at home but it remains in the same range 130-35/75-80. I am prescribed following medicines 1. Tablet cilnidipine 10 mg once daily 2. Tablet zytanix 2.5 mg twice daily 3. Tab. Dytor 20 mg twice daily. 5. Tablet atorva-e 10+10 mg once daily but I am depressed with the increasing proteinuria even after treatment from calcium channel blocker and diuretics combination. Two months before my albumin in urine was - + only but now its 4+. Earlier I was taking azilsartan 80 mg + amlodipine 5 mg but these drugs caused hyperkalemia so my doctor stopped it as my serum k was 6.4. He switched me to cilnidipine but since then my urine albumin has increased but bp control is better than azilsartan + amlodipine combo. So my question is does cilnidipine controls proteinuria or not? Do I need arb or acei class for controlling proteinuria or this 4th gen ccb (cilnidipine) will work for it. My doctor is not in favour of arb and acei class as it may cause hyperkalemia again. So please suggest should I continue with cilnidipine. If yes please suggest best medicine to bring down the urine albumin to minimum levels. Please help as I am very much depressed after seeing my results .also severe edema is there due to protein loss. Please help. I beg.

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MS - General Surgery

General Surgeon•
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Your doctor did a good thing cilindipine will reduce protenuria but will take time to recover you need to give time for any drug.
Asked for male, 63 years old from Hyderabad
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Dharwad
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Mr. lybrate-user, Thanks for the query.
I have gone through the details given. I am really happy to know that you have well controlled blood glucose level and HbA1c%. Plus the lipids and other parameters are also in excellent control. There is no further advise. Please the same lifestyle and remain fit and healthy. Thanks.
Asked for female, 48 years old from Guntur
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MS - Obstetrics and Gynaecology

Gynaecologist•Delhi
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Yes, Her condition is improving as her serum creatinine levels have decreased, she should continue taking the medicines prescribed.
Follow your doctor's advice. Get her bp monitored regularly, her bp is very detrimental for kidneys. She should take a pinch of salt and a protein-restricted diet. Should not take any painkillers.
Self-medication of any medicine should not be taken. Before taking any medication consult your doctor.
Asked for male, 47 years old from Trivandrum
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DHMS (Hons.)

Homeopath•Patna
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Hello, Your BP should remain 120/80.•Irregular life style, alcoholism, consumption of junkfood & nicotine might cause loss of sleep.
•Go for meditation to reduce your stress in order to calm your nerves to restore sound sleep to lower down your systolic pressure.
•Tk, plenty of water to hydrate your body to eliminate toxins regulating your metabolism. •Your diet be simple,  easily digestible on time to avoid gastric disorder that triggers loss of sleep.
•Avoid, junkfood,  alcohol & n...more
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