Blood Pressure Medications: Dr. Rosansky Reveals the Best and Safest to take
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- เผยแพร่เมื่อ 28 ส.ค. 2024
- Episode 289: Join Kidney Health Coach James Fabin and the renowned Nephrologist, Dr. Rosansky, as we dive deep into the world of blood pressure medications, both for those with Kidney Disease and those without. Are you wondering if lisinopril, amlodipine, or thiazide diuretics are right for you? Look no further! We'll explore the benefits, potential risks, and the reasons these are commonly prescribed for kidney health. Harness the power of knowledge to make informed decisions for your kidney health journey.
Here are some of the blood pressure medications Dr. Rosansky spoke about to help with reducing protein in urine (proteinuria or albuminuria):
1. ACE Inhibitors: ACE inhibitors work by blocking the action of the enzyme responsible for the production of angiotensin II, a hormone that narrows blood vessels and increases blood pressure. Some common ACE inhibitors include:
- Benazepril (Lotensin)
- Captopril (Capoten)
- Enalapril (Vasotec)
- Fosinopril (Monopril)
- Lisinopril (Prinivil, Zestril)
- Quinapril (Accupril)
- Ramipril (Altace)
2. ARBs: ARBs block the action of angiotensin II by preventing it from binding to its receptor. This helps relax blood vessels and lower blood pressure. Some common ARBs include:
- Candesartan (Atacand)
- Irbesartan (Avapro)
- Losartan (Cozaar)
- Olmesartan (Benicar)
- Telmisartan (Micardis)
- Valsartan (Diovan)
3. SGLT-2 Inhibitors:
- Canagliflozin (Invokana)
- Dapagliflozin (Farxiga)
- Empagliflozin (Jardiance)
- Ertugliflozin (Steglatro)
- Sotagliflozin (Zynquista)
Get Dr. Rosansky's helpful book "Learn The Facts About Kidney Disease" at go.dadvicetv.co...
Dr. Rosansky is a highly respected nephrologist and an esteemed author of the book "Learn the Facts about Kidney Disease". With an illustrious career dedicated to the field of nephrology, he has made a significant impact on countless lives through his clinical practice and his insightful writing. His book has served as an essential guide for many patients navigating kidney disease, demystifying complex medical concepts and providing practical advice for managing the condition. Dr. Rosansky's commitment to patient education and his deep expertise in kidney health have firmly established him as a leading authority in the field of nephrology.
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IMPORTANT: This video is intended to be informational only. It is not a medical consultation, nor is it personalized medical advice. This video is not meant to replace a physician's advice, supervision, and counsel. For medical advice, please consult your physician.
#bloodpressure #KidneyHealth #KidneyDisease #ckd #DadviceTV #DrRo
Thank you, James and Dr. Rosansky. Always learn a lot when you have Dr. Ro on the show!
Super helpful! Thanks Doc and Dad! I was put on Losartan and my eGFR dropped to 58 and my doc and I both freaked out. Knowing this is expected takes a load off! Turns out I was dehydrated and eGFR went back to 63 after properly hydrating. I also was lifting more weights which upped my creatinine. Anyway, thanks for this super helpful info!
…You ‘re two angels for all of us with kidney problems cause you ease our anxiety and fears…❤ from an 🇮🇹 italian doctor…my Respect to great colleague Steve Rosansky and fantastic James …
Thank you!
Great doctor!
I believe the doctor says it can lower a bit but overall Losartan can extend life and help with hardening of the arteries etc. He said Losartan was one of the better drugs for kidney disease. Hope that helps. The Dr also mentioned a low protein diet but not too low for kidney health as well keeping top number BP within 130 to 120. Also he mentioned protein in the urine along with high gfr as being more dangerous.
Hello sir/ Madam, Thank you . I love your program,VERYVERY informative. . Thank you for sharing greatly appreciated xxxlovely
What about Cardizem 180 xr and losartin 50 mg blood pressure is still elevated and egfr is 45 and yes have protein in urine
I'm 59 years, female (for added information)
Thanx for another very helpful video. However, please get closed captions. I'm hearing impaired. I'm in stage 3 so I still have time to take action.
Closed captions can be turned on by hovering over the video with your cursor or touching the video on your tablet/phone. It’s a small square icon with dots in it. All of the videos have them, but TH-cam can be tricky in turning them on.
Is telsmisartan considered the safest long term with least amount of side effects?
Metoprolol can cause panic attacks and i already have at times taking it makes it worse . When i have an attack i have to walk its the only way i can deal with it and i have had them to last for hours and after being home for 2 weeks after bypass surgery i was on metoprolol and startd having the attacks and the walking was very hard
Thanks for the good info!!!!
Can l take Lisinopril and also use habicucs tea at the same time
Question for Dr Ro, do those meds that cause -erectile dysfunction cause permanent damage?
Thanks for all your advice, great information. Having lost weight, what’s some healthy eating for putting on some pounds. Anxiously Awaiting your response with thanks.
Can you have a discussion specifically about raised potassium due to ARBs and what to do about it. Thanks!
Is amplodipine derived from rattlesnake venom? (Very informative show, thank you both)
What would be a long term health effect of an extended use of metprolol and lismopril 25mg vs 20 since mid 2016 to undetermined future for readily controlled hypertension and with animal volve?
Can you pls discuss a kidney disease such as membranous nephrophaty and treatment
All people should help shovu roy in raising fund for artifical kidney
What?
Did the doctor say that Losartan can lower your egfr? did he mean it can raise it as in from 40 to 50 or lower as in from 50 to 40? thank you
You will see a drop, but overall it is helpful to slowing CKD and living longer. It’s important to be aware of the drop and not panic.
Do any of these drugs cause weight gain?
Is CKD curable,and what can I do to help myself,thank you!
Dr., my eGfr is 51 and I’m taking Losartan with hydrochlorothiazid 100 mgs 1x daily and atenolol 50 mgs at night. Is that okay?
Hello there, ive just found your channel and im not sure if you already talk about this, but what is you opinion on the chinese plant Rehmannia glutinosa? I read that can help kidneys, it's used in Chinese medicine. Thank you in advance if you will answer me and for make great videos!
Thank you. How about something in a can that says no salt? Is it ok?
I am an 85 year old female on Valsartan 320mg just once daily. Is once a day unusual? Also on Amlodipine 5mg per day. Love your program. I have stage 3a kidney disease.
Hi i always get allergic reaction to almost every bp medication and it seems to me that block my kidneys function to improve and my kidneys dr doesn't care about it and asked me " am i ready for dialysis "
Meds are Telmisartan 80 mg and Carvedilol 3.125. Too much?
20 year kidney patient.
Please respond.
Metoprolol is it safe
Hypertensive here. Tried Lisinopril. About coughed to death. Tried Amlodipine. Got acute abdominal pain. Now on Benicar. It's causing some diarrhea. Going back to the doctor this week to check on options, it's so frustrating being sensitive to medications. I have several med allergies as well. Allergic to Motrin, Naproxen, PCN, Omeprazole. My CBC and CMP are normal. I'm a nurse. I take my BP daily. Right now, I have no kidney issues, but my dad had Hypertension, CHF and CKD.
Can you discuss what fourisimide does to ypur blood sugar I stopped taking it because it depleted my vitamin b1 and now I'm prediabetic so I stopped taking it and started taking vitamin b1
Hi Dr., having an APKD stage 5 taking a Hydralazine 100mg x2 for blood pressure is ok?
I stopped enalapril because I was coughing so hard that it caused a hernia in my diaphragm!
Great video. Learn alot
Glad to hear it!
Please doc.rosansky and james please help me my creatine 14 gfr 2 what can i do i have cardiovascular deceased plese help me i dont know what i doi have anemia too
Can you please make a video on low bp with high protein in urine
I take losartan twice a day 25mg each…. And clinitis 10 mg in between, 9am(losartan)- 1pm(clinitis)-8pm(losartan)
I hope thats ok? Taking twice? Anyone? James? 17:36
Hi how do you get 2 + protein down if you have low blood pressure and can only take lisinpril 2.5 thanks
I live in Indonesia, very far away, but I'm your subscriber, my creatinine is 1.5 for 13 years but recently I have high proteinuria (ACR 1000, normal 300). I'm on 5 mg amlodipine and 160 valsartan, allupurinol 100. In Indonesia there is no aldosteron blocker or sglt2. My blood pressure usually normal 110/75. Is it better to seek doctor who can give me the new med abroad? But I don't know any doctor abroad who know the new med
@@irenebudisantoso8684 halo ada kak
Saya dikasi jardiance sama dokter di malaysia dan ternyata jardiance ada juga dijual di indonesia…
The newest drug kerendia raised my creatinine and potassium after a few weeks, now I have dropped it. Should I resume them?
Dr.Rosansky and James is the kidney failure is causing smell soo bad urine ? Thankyou for answering because this bothering me what med can l take for the the Dr just said drink lots of water pls help
I have PKD my GFR is 21 and if I take highest dose of Lisinopril like you advise , I will probably end up in dialysis clinic the next day 😳 ?
What med has your nephrologist put you on?
Excellent topic…thanks James n Dr R
I take LOSARTAN 100 mg at 10 am at 5:30 pm my BP WILL GO UP to 170/90 if I take NORVASC 2.5 to 5 mg have persistent hypotension at 10 in am please advise please answer me
Can you all help shovu roy in developing artifial kidney and raise fund for his work
Most common
I’m Spironolactone is it safe
I have high blood pressure & it is consistently high as a result doctor added more meds & I hate it.
WHAT ABOUT METOPROLOL ER SUCCINATE 25MG????
Please anserew me I HAVE been on LOSARTAN 100 mg persist BP GOES UP TO179/70 at around 5:30 if I take NORVASC 5 mg I have persistent am hypotension please advice what to do
Speak to your Doctor.
Have you heard of? GLT2 inhibitors
Losartan why is my blood pressure raising😢
Is insulin part of kidney disease
I take ramipril 2.5mg and amlodipine 5mg. Some days i feel when ever i am standing i will fall and my head is foggy. Listening to dr i think it was due to low blood pressure. This started happening to me after taking bp tablets.
Doc termisartan & losartan are the same?
Same class of drugs (ARBs) but not the same drug
How about creatinine 14 and gfr 2
😮 i hope you are well
Aside from me being visually impaired and getting nervous on the ride over etc. Literally nine times out of 10 the individuals even the D ours are not taking BP’s correctly! The arm is down the arm is not on a table etc. etc. it is horrible and then we get all agitated and upset. So yes take it at home do what Dr. R is telling us. I always check these people in the office and tell them look I don’t believe this is how it’s supposed to be done! Thank you Dr. R and James
I noticed that, too. I like that where there is no available surface, some of them will actually use their own arm to support mine. They really care enough to give it proper attention...
I didn't come across this early enough to watch the whole thing, it's now after midnight and I have things to do in the morning... thank you for the presentation, I appreciate it so much!❤
Chlorthalidone only comes in minimum 25 mg
Are drugs made in China safe. I found they are much less expensive but afraid to trust them
GFR 44 BP 99/54 Terazosin 1mg twice a day or these numbers normal
BEWARE This is what happened to me. My PCP upped my Lisinopril from 10 mgs to 15. My kidney function was at 28 and dropped to 12 after taking blood work for another doctor. My PCP almost sent me to dialysis before my time! I was taken off Lisinopril by my Nephrologist and blood pressure is high and causing a slew of other problems. There were no other changes to other meds or eating habits that would have caused this decline except the up in dosage. Not sure what I can take that won't kill my kidneys.
How are you doing now? Did your function recover after discontinuing the lisinopril? What are you on now?
Lasartan
👍
ACE --ARBs (safest) raise potassium, so you can consider a diuretic as well
1. Prevent diabetes
2. Prevent stroke
3. Can take once a day
4. Increase life span
5. Decrease hardening of arteries
5. Decrease heart disease
6. Slow progression of kidney decline.
7. Use one or the other; don't take both.
8. Heart failure patients do better with ACE's
9. Cough is a side effect. ACE or ARB
10. May cause angioedema.
11. Pregnant women can cause birth defects
12. Albumin and creatine ratio--- good idea of how protein is in urine.
13. High protein over 300. +1 on urine dipstip. Get to a maximum dose of ACE or ARB
14. Advanced kidney is okay.
15. People stop or start and get scared with a drop in GFR, and potassium goes up
16. Be careful of NSAIDS and dehydration.
Amlodipine --calcium channel blocker for muscle contraction--relax
Only take pills once a day.
❤❤❤ from Iran ❤❤
They want me to take the spironolactone 25mg but im already on high amount of entresto
My regular dr put me on Entresto low dose just because he was tired of my high bp.....my echocardiogram was ef59 .....then at my heart dr visit it was 159/68 and he said oh thats still too high so he upped it to a big dose of Entresto 97_ 103 twice a day!! That was in march before i had an NSTEMI no st elevation i have mvd they say angina ... im dizzy from meds my bp will not be low i take ranolazine 500er mg twice a day for angina
Sir what say you about entresto
I had to go down to just 3 mg of carvidilol cause it made my heart rate go to a 44 rate
It says dont take hydrolazine if you have coronary heart disease
Nifidipine30mg er made me i hated it
Can you have a discussion specifically about raised potassium due to ARBs and what to do about it. Thanks!