HBP Medications

[Molly824]

A year ago my husband suffered an AKI and ended up in renal failure. He has since recovered but has been diagnosed with Stage 2 CKD. His doctor has recently switched him from metoprolol 100mg to hydrochlorothiazide 25mg. Is there one bp medication that is better than another for CKD? We are new to all of this and trying to get as much information as possible. Our nephrologist in our old state was awesome but we recently moved to be near family and there are not as many resources and specialists here. We’ve had him following a kidney diet as well as exercising and weight loss for the last year. Any advice would be appreciated ☺️ His BP reading at his appointment was 158/82 and that’s when she decided to make the switch.

[Dixidude39]

Molly824: Wow. From renal failure to CKD2 sounds like a miracle. A handful of folks who are "fit as a fiddle" still have high BP, or high cholesterol and/or high triglycerides. It's genetic. I can't advise as to medications. All I know is that when I lost considerable weight (130 pounds), began eating sensibly and joined the YMCA, I no longer needed medications for high BP or for Type 2 diabetes.

I'm CKD4 because I lost my right kidney to cancer. I am on a low protein, plant-based diet based on the book "Plant-fed Kidneys" by RD Jennifer Moore, and other related books and scientific papers. Best wishes!

[KidneyCoach NKF Ambassador]

Acute Kidney Injury often corrects itself to normal function or rebounds to a better level. Since he has now been diagnose CKD stage 2 he will need to be more cautious with diet etc. Sounds like he's doing all the right things. He could easily live out his life at this stage, or he could worsen in a few years. Generally AKI resolves but talk to his doctor. Wishing you the best.

Blessings

[DadviceTV]

Managing high blood pressure is so much more important than people realize when it comes to managing kidney disease. For the vast majority of people, this is done through medication - and of course, all medication has some downside (tiredness, stress on other organs, etc.). I wish there were one best prescription - but your husband's doctor will need to find the right combination of pills and timing unique to him. You probably noticed I added timing - yes - that can play a role in managing high blood pressure. It took my doctors about 45 days of tweaking my meds, including the timing of them, to get my blood pressure under control (under 130/80). I have pills I take in the morning, and pills I take in the evening. Just taking all my pills in the morning (or morning and noon) did not work for me. So it is a tricky balancing act which takes his doctor time to figure out. I helped my doctors out by taking my blood pressure at home throughout the day using a device that posted my results to the cloud so my doctors could see them in real-time. You can see what blood pressure medications I take, the dosage, and the time at dadvicetv.com/blood-pressur...

Good luck!

James @ Dadvice TV