A member asked:

Old nephrologists removed lisinopril from meds gfr 22 new neph put me back on it now gfr is 19 i thought was suppose to help kidneys?

9 doctors weighed in across 5 answers

Difference between a: Gfr of 22 and 19 is not a meaningful difference. Please follow your doctor's advice as you have serious kidney issues.

Answered 6/14/2015

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Dr. James Pritsiolas answered

Specializes in Nephrology and Dialysis

Lisinopril use: The Lisinopril is helpful in patients who have protein in the urine (and are not dehydrated or have narrowing of both kidney arteries). Once it is started, a certain decrease in GFR (including going from 22 to 19) is acceptable, but labs need to be monitored frequently in the beginning to ensure that the GFR does not continue to decrease.

Answered 7/22/2016

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Depends: Use of acei are restricted if the kidney function is declining especially if nearing dialysis. Should discuss with your nephro gist to see if it needs to be stopped.

Answered 6/14/2015

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OK to use: OK to use the drug with caution. Have potassium checked and followed and also ongoing kidney function. It does protect the kidney of tolerated and don't have allergy to the mediation.

Answered 6/14/2015

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Dr. answered

Ace vs kidneys: Hi Carol, lisinopril is an Ace inhibitor. It is helpful in blood pressure, heart disease, and,in some cases, kidney disease (diabetes and high blood pressure). However, it can also effect kidneys in a negative way. Like increasing creatnine or lowering GFR. It is thought to be protective of kidneys in diabetes and slow down the progression of kidney failure. I would talk with your nephrologist.

Answered 11/28/2017

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