Dear Doctor,My Sreum Cretitine is 3.4 and Hemoglobin is 12.4.Suffering from CKD since 6 month. Now I am on BP medicine like Lonitab, Selokan XL and Fabulas 40 mg.Question is how bad my kidney is and which stage of renal failure. Can be improved?
Dear patient, I do not see any ACE inhibitor or Arms in your therapy. It is a good Chat Doctor.  You can ask your physician to start with April, 2.5 mg once a day and increase at the maximum tolerated dose (10 mg). It can be an excellent substitute of minoxidil. You can expect a transient increase of serum creatinine, but it has been demonstrated that renal survival, at the long term, will increase. Your physician should strictly follow serum potassium at least for the first months of treatment, since potassium can be found higher than normal, and it may because of severe hyperkalemia.