Dear Sir.Wife is patient of HTN,DM,and recently of CKD stage iv,She is Diabetic(IDDM) since 1986.Since last 4 years her S.Creatinine started to rise from 1.2 to 1.6 to 2.2 and so on.No symptoms which could disturb her normal routine tii June 2012.She was hospitalised for odema in face,ankles etc and S.creatinine was 5.6.Then again in Nov 2012 she was hospitalised in Intensive Care in condition of acute Respiratory distress..S. creatinine rose to 11.7.Emergency Dialysis(Hemo) was done through Juglar three times and AV fistula was made (radio Cephalic)in Nov 2012.Av fistula has not developed fully till now.Her latest report is S. Urea 112,S.Creatinine 4.9,S.electrolyteswith in range.This query is for Dosage of Renolog.My Nephologist Dr Navneet Saxena Consultant Nephrologist at Apex Hospitals Private Limited Jaipur has prescribed the following.Amloguard 5mg od,minipress xl bd,arkamine tds,dytor 40 mg.od,RENOLOG bd,carvidilol od,Nodosis tds,Lacarnit bd,inj Anfoe 10000 weekly(Hb 10.6) Insulin Humalog 20:20;20 at BF,L,D and Lantus 16 at 11pm.She is having no odema except on face,Normal apetite,Feels shivering cold.Temp in Jaipur is 18/4.5.Your valuable advise wrt to dosage of RENOLOG.I have gone through  re paper of S.V Subramanyam,A.Nayak,P.V.Lakshmi.K.S.nayak Lazarus Hospital HYderabad.They say that ketoanalogue(RENOLOG) can be given at the rate of one tab per 10 kg body weight/they have advised one tab for every 5 kg body weight. My wife is 80kg and accordingly she may be given 8 tab per day.What should be the dosage of Renolog. Should I go for fresh AV Fistula since we have got time. If yes which is the best site.Should Venous mapping is suggested before making AVF.If you feel that from whatever information I have given to you you would like to see the patient and then start treatment,please advise accordingly.Thank YouSurendra Mehta          E mail ID            YYYY@YYYY
Hi, I will first start with the advice on fistula. Yes vein-mapping is advisable. The best site will be around brachial region. The dose of Rena log and like Chat Doctor. For her, you can divide her ideal weight by 10 to know the number of tablets. However, in my opinion Rena log at this stage of disease will not be of much help.Instead, she can take Judo Forte, one tab daily.