India
A 39-year-old male asked:
What is the treatment for proteinuria in iga nephropathy?
5 doctor answers • 8 doctors weighed in
Dr. Jack Rubinanswered
Nephrology and Dialysis 50 years experience
IgA nephropathy: Ace-i and arb's have been shown to reduce proteinuria seen in patients with IgA nephropathy. Depending on the levels of creatinine and potassium, they may be given together for an additive response. See, or ask, the treating nephrologist for more information about this treatment of proteinuria.
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsAnswered >2 years ago
Dr. John Tillettanswered
Urology 24 years experience
See below...: Protein in the urine (proteinuria) is a common symptom of IgA nephropathy. If the underlying condition is being treated and is under control, the proteinuria can be minimized. You should be followed by a nephrologist.
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsAnswered >2 years ago
Dr. Tracy Lovellanswered
Internal Medicine - rheumatology 23 years experience
See below: You want to get the blood pressure under control. Soemtimes corticosteriods are used to get it under control.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
Dr. S. Smiley Thakuranswered
Nephrology and Dialysis 33 years experience
Depends: Fishoil 2-3 grams twice a day has been shown to be effective in slowing renal decline in patients with a creatinine clearance between 30 and 60 ml/min. If your function is better or worse than this range, or you can only tolerate 1g twice a day, the effects are unclear.
Blood pressure control, use of ace inhibitors are other mainstays of treatment.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A Verified Doctoranswered
46 years experience
Proteinuria IgAN: Good question. Conventional approach is to commence an ACE Inhibitor and then titrate the dose upward slowly while measuring urine protein. Goal is to reduce proteinuria by at least 50%. Your BP program may require modification. Prednisone is also occasionally used for a flare of IgAN.
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
Dr. Jack Rubin commented
Nephrology and Dialysis 50 years experience
Another agent used for reduction of IgA proteinuria is corticotropin, which is given by injection. It is very effective in reducing proteinuria and can be used as a first line agent, or in those patients who have serious adverse effects taking steroids for their Ig A nephropathy.
Aug 15, 2014
Last updated Dec 30, 2016
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