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Re: Kidney Issues (Low GFR) (UPDATE)

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Just got labs back from latest bloodwork and Creatinine has stayed the same and

the GFR is now down to 50. Recall that last week, my PCP halved my dose of

Spiro in response to high Creatinine and Low GFR. In addition, latest bloodwork

shows K has decreased from 4.5 to 3.7 in just 1 week and pressure has gone from

100/60 to 124/70.

In response to my latest bloodwork, my PCP is advising my to stop the Spiro all

together and have a renal artery doppler test and see a Nephrologist. I am very

concerned about stopping the Spiro as my K will drop to abnormally low levels,

blood pressure will sky-rocket (Pre Spiro values were in the neighborhood of

180/100) and I will not feel good.

Any advice??

In addition, I did a bunch of reading about Creatinine levels and it seems that

one might have high values if their levels are checked after intense physical

activity. On both occasions the blood was drawn the day after working with my

band. I am a drummer (not my day job) and we get together every weekend and

play for around 3 hours. The type of music we play is very intense and the

drumming is extremely physical (It's a great aerobic workout). I can't help but

wonder if this is affecting my Creatinine values. In addition, I seem to

constantly battle dehydration (since I was a kid) and I realize that this could

affect Creatinine values.

I really think it is a mistake for me to stop the Spiro. Any thoughts or advice

would be appreciated.

48 yr old male, 6'3 " 240lbs, bilateral hyperplasia diagnosed in 2007

Other issues: bicuspid aortic valve, enlarged aortic root, hypothyroidism,

allergies, asthma, gout, stomach discomfort, depression

Meds: Spironolactone, Levoxyl, Allopurinol, Toprol, Allegra, Prilosec,

Ranitidine, Singulair, Advair, Flonase, Albuterol, Wellbutrin

> > > > > >

> > > > > > > I wanted to report that I had routine bloodwork the other

> > > day and

> > > > > > > Creatinine was 1.5 and Estimated GFR was 54. Based on those

> > > numbers,

> > > > > > > my PCP reduced my Spironolactone dose to 25 mg 2x from 50 mg

> > > 2x. I'm

> > > > > > > not sure I understand why he did this and I'm not looking

> > > forward to

> > > > > > > the reduced dose because I felt really good at 50 mg 2x and

> > > blood

> > > > > > > pressure averaged 100/60. He also ordered a kidney

> > > ultrasound which

> > > > > > > came back normal. Has anybody had any experiences with this?

> > > > > > >

> > > > > > > For Lucy Sage: Thanks so much for sharing the name of your

> > > Endo. I

> > > > > > > got my referral and will calling tomorrow to schedule an

> > > appointment.

> > > > > > >

> > > > > > > Thanks,

> > > > > > >

> > > > > > > Mike

> > > > > > >

> > > > > > > 48 yr old male, 6'3 " 240lbs, bilateral hyperplasia diagnosed

> > > in 2007

> > > > > > >

> > > > > > > Other issues: bicuspid aortic valve, enlarged aortic root,

> > > > > > > hypothyroidism, allergies, asthma, gout, stomach discomfort

> > > > > > >

> > > > > > > Meds: Spironolactone, Levoxyl, Allopurinol, Toprol, Allegra,

> > > > > > > Prilosec, Ranitidine, Singulair, Advair, Flonase, Albuterol.

> > > > > > >

> > > > > > >

> > > > > >

> > > > >

> > > > >

> > > >

> > >

> > >

> > >

> >

>

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Have you been taking Sprio since Dx in 2007? What other meds have you been on?

Any recent injection of contrast agents?

Might want to go here and pot in all meds and see how your meds interact

together http://www.drugs.com/drug_interactions.html

> > > > > > >

> > > > > > > > I wanted to report that I had routine bloodwork the other

> > > > day and

> > > > > > > > Creatinine was 1.5 and Estimated GFR was 54. Based on those

> > > > numbers,

> > > > > > > > my PCP reduced my Spironolactone dose to 25 mg 2x from 50 mg

> > > > 2x. I'm

> > > > > > > > not sure I understand why he did this and I'm not looking

> > > > forward to

> > > > > > > > the reduced dose because I felt really good at 50 mg 2x and

> > > > blood

> > > > > > > > pressure averaged 100/60. He also ordered a kidney

> > > > ultrasound which

> > > > > > > > came back normal. Has anybody had any experiences with this?

> > > > > > > >

> > > > > > > > For Lucy Sage: Thanks so much for sharing the name of your

> > > > Endo. I

> > > > > > > > got my referral and will calling tomorrow to schedule an

> > > > appointment.

> > > > > > > >

> > > > > > > > Thanks,

> > > > > > > >

> > > > > > > > Mike

> > > > > > > >

> > > > > > > > 48 yr old male, 6'3 " 240lbs, bilateral hyperplasia diagnosed

> > > > in 2007

> > > > > > > >

> > > > > > > > Other issues: bicuspid aortic valve, enlarged aortic root,

> > > > > > > > hypothyroidism, allergies, asthma, gout, stomach discomfort

> > > > > > > >

> > > > > > > > Meds: Spironolactone, Levoxyl, Allopurinol, Toprol, Allegra,

> > > > > > > > Prilosec, Ranitidine, Singulair, Advair, Flonase, Albuterol.

> > > > > > > >

> > > > > > > >

> > > > > > >

> > > > > >

> > > > > >

> > > > >

> > > >

> > > >

> > > >

> > >

> >

>

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