A member asked:

Creatinine is 1.13 & gfr 58l. is this high? bp is controlled with 5mg norvasc (amlodipine) 2xday.stopped spironolactone&metoprolol because it did not improve bp.

Q: creatinine is 1.13 & gfr 58l. is this high? bp is controlled with 5mg norvasc (amlodipine) 2xday.stopped spironolactone&metoprolol because it did not improve bp.

GFR: Normal GFR is &gt;60 - you're almost there. Most people with mild renal insufficiency should be taking an ACE inhibitor - you're not. Amlodipine is very long acting. It should never be taken twice a day as that simply doubles the cost without benefit . If you had a myomectomy, I assume you have HOCM? If so, metoprolol is indicated.

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Dr. Bennett Werner answered

GFR: Normal GFR is >60 - you're almost there. Most people with mild renal insufficiency should be taking an ACE inhibitor - you're not. Amlodipine is very long acting. It should never be taken twice a day as that simply doubles the cost without benefit . If you had a myomectomy, I assume you have HOCM? If so, metoprolol is indicated.

Answered 7/10/2014

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A member asked:

Creatinine is 1.13 & gfr 58l. is this high? bp is controlled with 5mg norvasc (amlodipine) 2xday.stopped spironolactone&metoprolol because it did not improve bp.

A doctor has provided 1 answer

Dr. Bennett Werner answered

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