When is farxiga used?

[Kusama]

I just had nephrectomy and now have an egfr between 49 and 54. I was just told preop that remaining kidney would compensate but not told it frequently didn’t happen in older group, I am 68 and preop egfr was 80. I read about farxiga to prolong kidney function. When do doctors recommend? Is there any downside to the kidneys to start at this point? I have HBP but no diabetes. I want to do all I can to maintain sufficient kidney function for my life. I have decreased protein and am watching sodium and trying to edge to vegetarian

[Kusama]

Same question for kerendia, an nsmra medication said to slow down renal deterioration

[userotc]

If you check out a post I did on single kidneys a while ago*, you should find some key related information. My mum had a nephrectomy in 2016. She has adopted Nutritional Therapy - no drugs. Mum is now aged 69 and was able to wean off BP medication too thanks to NT, with typical BP 123/78 🤞😄

*Click on my name, then posts on right, let me know if any problems.

[WildIris]

Good work, changing your diet and all. Maybe you should give your remaining kidney some more time to recover? Kidneys can take weeks or months to recover from insults like illness, medicines, physical blows, like from a fall. So give it a while, drink plenty of water, keep up with the blood tests. My egfr has been fairly stable over the years. I did change my diet and lose weight, and there's nothing more I can do. My GP monitors it but I don't worry about, though I did for the first year or two.

[WildIris]

About Farxiga- its a fairly serious drug, and I'd be surprised if they'd give it to you unless your egfr were dropping. The people I've known who take SGLT-2 inhibitors (like Farxiga) often have unpleasant side effects. Ask your doctor.

[Kusama]

That is helpful. One nephrologist told me my kidney already compensated suggesting this is where things which was a terrible shock. Why I am trying to be as informed as possible on this end. It is very reassuring to know that your EGFr has been stable for years.

[CKD3Khan]

I am stage IV CKD, just saw my nephrologist Monday and asked about Farxiga. He said it is usually given for those with diabetes and kidney disease, but they are using it now in non-diabetic - kidney disease patients. If you are susceptible to UTI issues, as in my case, he did NOT recommend prescribing it because it does indicate a higher chance of UTI issues. He didn't believe it was worth the risk.

[Kusama]

Thank you