Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Does This Blood Report Indicate?
Question: I recently got blood results from a Life screening test that indicated an abnormal low score of 58 eGFR on my kidney test with a normal 1.23 creatinine score. I am taking lisinopril 20-12.5 mg once a day for high blood pressure. I am also overweight significantly . ( I am 6' high at 250 lbs.) It indicates I have irreversible Chronic Kidney Disease. I see that a low eGFR is likely caused by lisinopril. Will stopping to take lisinopril raise my eGFR level and if so what would be the best replacement for lisinopril?
Brief Answer:
Yes, in the long run it may be beneficial to replace the medications !
Detailed Answer:
Thanks for consulting and your trust in HCM means a lot to me as a Physician.
I have completely reviewed your health query, and well realize all those concerns. Being your physician, I will take care all of them today and will extend my expertise to solve the problems.
As muscle mass decreases with age especially above 70 years, there is a change in eGFR values and normal levels for eGFR is also different by different labs. But as you have got the report and that says a significantly low values, it is a cause of concern and needs proper follow-up with your Physician. He may also refer you to a Urologist to rule out any other cause for low Glomerular filtration rate. Primary kidney diseases may also cause a decreased values.
Yes, Lisinopril have these side effects. Your treating Physician can review your antihypertensive medicine and after careful review of the cause for eGFR value being out of range, he may go for replacing the medicine. HCTZ is the one that has a safer kidney side effects profile.
(NOTE:- I recommend to consult your treating physician before any changes in any medications).
Hope I answered all of your queries. Let me know if you have further clinical concerns or doubts. I will be more than happy to get back to you. Please don't forget to give 'Five star rating' (if agreed) to help me assist patients in a better way; and, please don't forget to click on 'Close This Discussion'.
For any disease you have, a timely follow-up is necessary regarding the treatment efficacy and to see if there is a need to change the treatment options. So keep a follow up to see how you doing (Always write down my name in start of your questions at this forum & I will be with you in no time).
Regards!
DR. HANIF
Yes, in the long run it may be beneficial to replace the medications !
Detailed Answer:
Thanks for consulting and your trust in HCM means a lot to me as a Physician.
I have completely reviewed your health query, and well realize all those concerns. Being your physician, I will take care all of them today and will extend my expertise to solve the problems.
As muscle mass decreases with age especially above 70 years, there is a change in eGFR values and normal levels for eGFR is also different by different labs. But as you have got the report and that says a significantly low values, it is a cause of concern and needs proper follow-up with your Physician. He may also refer you to a Urologist to rule out any other cause for low Glomerular filtration rate. Primary kidney diseases may also cause a decreased values.
Yes, Lisinopril have these side effects. Your treating Physician can review your antihypertensive medicine and after careful review of the cause for eGFR value being out of range, he may go for replacing the medicine. HCTZ is the one that has a safer kidney side effects profile.
(NOTE:- I recommend to consult your treating physician before any changes in any medications).
Hope I answered all of your queries. Let me know if you have further clinical concerns or doubts. I will be more than happy to get back to you. Please don't forget to give 'Five star rating' (if agreed) to help me assist patients in a better way; and, please don't forget to click on 'Close This Discussion'.
For any disease you have, a timely follow-up is necessary regarding the treatment efficacy and to see if there is a need to change the treatment options. So keep a follow up to see how you doing (Always write down my name in start of your questions at this forum & I will be with you in no time).
Regards!
DR. HANIF
Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.
Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
