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Doctor insights on: Diuretics For High Creatinine Levels

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Bun/creatinine ratio = 20...Taking Diovan (valsartan) hct 160/12.5 for htn-could diuretic in BP med be affecting level?

Bun/creatinine ratio = 20...Taking Diovan (valsartan) hct 160/12.5 for htn-could diuretic in BP med be affecting level?

Likely: We have a saying in laboratory medicine, "treat the patient, not the numbers." you may be a little dry from your diuretic or simply not having drunk water before the exam. Generally, there's little reason to focus on your lab numbers; look at how your medication is affecting you generally, and how you feel.

Diuretic (Definition)

By strict definition, a diuretic is any medicine causing increased urination. More practically, a diuretic is a medicine causing the kidney to secrete excess fluid by blocking the re-absorption of either water itself or electrolytes like sodium (primarily), potassium, chloride and bicarbonate (sodium bicarbonate). These medicines are effective treatments for many disorders including ...Read more


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Can creatinine be falsely low in volume overloaded patient? Gained 10%, edema but crt went down from 2.2 to 1.4. Using na bicarb and weekly diuretic.

Can creatinine be falsely low in volume overloaded patient? Gained 10%, edema but crt went down from 2.2 to 1.4. Using na bicarb and weekly diuretic.

Not exactly: The change can occur depends in why your creatine is up. Usually it reflects your muscle mass and is a muscle breakdown product that is excreted by the kidney and measures for renal function. It can improve and your did

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How to reduce blood urea and creatinine in patients with limited fluid intake and diuretics?

How to reduce blood urea and creatinine in patients with limited fluid intake and diuretics?

Depends: If it is irreversible chronic kidney disease you cannot. If it is reversible then you can decrease diuretic dose and increase fluids- this should be done with the help of a doctor otherwise you will become fluid overloaded.

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I hav a swollen face since years. Thyroid, cortisol, creatinine all ruled out. Docs r unable to find d cause. Which diuretic can I use? Plz help!

I hav a swollen face since years. Thyroid, cortisol, creatinine all ruled out. Docs r unable to find d cause. Which diuretic can I use? Plz help!

Considerations: In a female in 20s with isolated facial swelling (angioedema) could be possible - checking CRP, ESR, C4 levels could be helpful. Unusual exposures should be evaluated (insect bites, food, etc.) for possible allergic reaction. In females with PCOS an evaluation of hormones by physician should be considered.

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I have a bloated face due to high estrogen levels. I was on spironolactone for a yr bt dint notice any reductn in the swelling. Bt spiro is a diuretic?

I have a bloated face due to high estrogen levels. I was on spironolactone for a yr bt dint notice any reductn in the swelling. Bt spiro is a diuretic?

Bloated face: Your bloated face may not be due to fluid collection but rather to deposition of new fatty tissue which isn't significantly affected by diuretic administration. Fluid which collects in the facial area usually shows up in the areas around the eyes (periorbital edema)..

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My mom has copd, CHF and is a diabetic. Kidney level are high and diuretic isn't working and has fluid on lungs how long will she live?

My mom has copd, CHF and is a diabetic. Kidney level are high and diuretic isn't working and has fluid on lungs how long will she live?

Depends: Your mom does have multiple organs affected and as such may not have a good prognosis. If kidneys are failing she may prolong her life possibly with dialysis. But it also depends on how severe her CHF and COPD are.

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Calcium level elevated...49 yr old female taking 25mg maxide diuretic. Do not eat a lot of meat or get the vit d. Is this the cause?

Calcium level elevated...49 yr old female taking 25mg maxide diuretic. Do not eat a lot of meat or get the vit d. Is this the cause?

HCTC: The diuretic you're taking contains hctz, (hydrochlorothiazide) which will elevate your calcium levels. Your doctor should change you to another medication and recheck your calcium at a future date before proceeding with a more complete evaluation if levels don't normalize.

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Why is furosemide called high ceiling diuretic? Why not just high efficiency diuretic?

Why is furosemide called high ceiling diuretic? Why not just high efficiency diuretic?

High Ceiling Diureti: Increasing the dose above the threshold will ellicit a dose-dependant increase in diuresis until they reach maximum effectiveness. This is called the ceiling effect. So, if you go above the ceiling dose, no extra effect will be achieved. Compared to other diuretics Furosemide has high ceiling effect.

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Resubmit #: is there a thiazide diuretic medication (s) that does not raise glucose levels?

Resubmit #: is there a thiazide diuretic medication (s) that does not raise glucose levels?

Glucose: We keep learning that more of our meds cause some elevation of glucose. I am unaware of any members of the thiazides family that don't cause this. The long term importance of this effect is not certain.

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Can you tell me how diuretics help with high blood pressure?

Can you tell me how diuretics help with high blood pressure?

High blood pressure: Can either be a volume problem (blood) or a container (blood vessels) problem or both. Diuretics alleviate the "volume" problem by tricking the kidney to eliminate more salt (and free water) from the body.

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Metrpolol for high pulse rate but not very effective. Resting pul rate is 130. Bp on lower side. Taking diuretic 5mg also. Any other alternative?

Metrpolol for high pulse rate but not very effective. Resting pul rate is 130. Bp on lower side. Taking diuretic 5mg also. Any other alternative?

See your doctor: Metoprolol lowers resting heart rate and blunts the response of heart rate to exercise, anemia, fever, hyperthyroidism and other conditions. You may have to discuss it with your md as your dose may be too low, you may be dehydrated or have other co morbidities (infection/sepsis/thyroid/arrhythmias/anemia/ etc) check it out.

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Which high blood pressure patients can do fine without diuretics?

Mild HTN: If the BP can be controlled without a diuretic, then none need be used. However, normal physiologic response to BP lowering is to retain fluid, so a diuretic makes great sense, acting synergistically with other BP meds. Moreover, diuretics complement the potassium retaining effect of some BP drugs by clearing potassium in the urine. Hctz (hydrochlorothiazide) is so gentle, you won't even know it's working-i promise!

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How long will it take for a diuretic to lower high blood pressure?

Time diuretic effect: In general a diuretic will lower the BP within 2 weeks if your BP is diuretic responsive. This will depend on how much salt you eat as well. I recommend trying the DASH eating plan see check list to test if your BP is diet sensitive first. Takes only 2 weeks but check with your team or consult me for more details.

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Why can I not take any high blood pressure medication without a diuretic?

Why can I not take any high blood pressure medication without a diuretic?

You can: Talk with your doctor about medications called ACE inhibiotors or angiotensin receptor blockers. They are equally good at treating high blood pressure and are not in the diuretic class. Hope this helps!

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Why would a water pill effect high blood pressure?

Why would a water pill effect high blood pressure?

Decreased pressure: Look at it this way: if you pee out more fluid, there is less water floating around in your blood vessels. Less water in the pipes means less pressure -- the same as water in your house coming out the faucet...

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Do all high blood pressure pills have a water pill inside of them?

Do all high blood pressure pills have a water pill inside of them?

No: It is common to start people out on a water pill (also called a diuretic) or a pill that includes a diuretic medication in addition to another medication. But there are blood pressure pills that do not contain a diuretic.

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Should high blood pressure medications like diuretics be taken by pregnant women?

Should high blood pressure medications like diuretics be taken by pregnant women?

Not recommended: There are safe medications for hypertension but diuretics are not advised.

Dr. Madhu Kandarpa
2,215 Doctors shared insights

Creatinine (Definition)

Creatinine is a byproduct of creatine phosphate, which is present in muscles. Creatinine levels increase if the ...Read more