BP Meds

[Wrigley]

I'm on Lisinopril and a Thiazide combo. My most recent eGFR was 54. BP Ranges between 105/65 to 115/70. Any thoughts on role of BP control and eGFR management? How important is it?

[Hidden]

Hypertension is one of the leading causes of CKD. Watch your diet, especially the sodium. Add no extra salt and minimize the sodium content in your meal plan. Exercise and medicines are other important keys to slowing down the progression of CKD.

[Ladybug_05]

Having a high blood pressure puts strain on our organs in general, which includes the kidneys. Extra force on the blood vessels in the kidneys from having hypertension causes kidney damage, which can lead to kidney disease. Controlling blood pressure is vital in prolonging kidney function and keeping the rest of our body healthy as well! Mr_Kidney hit the nail on the head with what to do, and your medications from the information given seem to be working well.

[lowraind]

105/65 to 115/70--this is not high bp, unless I am missing something.

The new guideline defined blood pressure below 120/80 mmHg as normal blood pressure and elevated blood pressure as systolic pressure of 120–129 mmHg with a diastolic pressure below 80 mmHg. ... Thus, placing the emphasis not only on the BP number but focusing it on lowering cardiovascular risk.

lowraind

[WYOAnne NKF Ambassador]

Yes, keep your bp under good control. Elevated bp is a leading cause of ckd. I am 19 years post kidney transplant and doctors also found that I have scarring in my heart due to high bp prior to my transplant

[Kbressler NKF Peer Mentor NKF Ambassador]

B/P is regulated by the kidneys so if your kidneys are compromised your blood pressure will be high. High blood pressure in turn damages the kidneys. Lisinopril is an inexpensive effective B/P lowering drug with few side effects. Maintaining a stable blood pressure is essential to minimizing and controlling kidney damage. EGFR is a measurement of kidney function so expect changes in those numbers when kidneys deteriorate. Different types kidney disease act differently but the first approach to kidney therapy is blood pressure control.

[Northfields]

The target BP for kidney patients with proteinuria is lower than the target BP to lower cardiovascular risk. In any case your BP seems to be well controlled.

I found out the hard way how important BP is for my eGFR: one nephrologist insisted my BP was fine as it fell within the range for cardiovascular disease, but unfortunately it was still too high for my proteinuria and my eGFR fell rapidly. Increasing the dose of Lisinopril stabilised my eGFR, especially as it also reduces proteinuria as well as BP.