A member asked:

Albumin/creatnine ratio has been increasing. my endo doesn't want to treat due to lisinopril allergy. 45.6 june 2011, 55 nov 2013, 75 feb 2014. advice?

4 doctors weighed in across 2 answers
Dr. Tarek Naguib answered

Specializes in Nephrology and Dialysis

ARB option: Angiotensin receptor blockers have similar effect like ace inhibitors. If you are taking them you don't need ace inhibitors. Arbs usually end with "sartan" eg losartan, telisartan. However, if by "allergy" you mean that they slow down your kidneys then arbs aren't good for you either. Your lipitor, (atorvastatin) BP ; diabetes control (if have it) are very helpful for proteinuria otherwise.

Answered 10/4/2016

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ACR: Depends upon nature of the lisinopril allergy. Alternatives exist: Angiotensin receptor blockers may be safe. Meanwhile, keep BP below 130/80; keep blood glucose as normal as possible; eat well: low refined carb, low sugar, low saturated fat, complex fruits and veggies and whole grains. Ask about spironolactone or losartan.

Answered 8/25/2014

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