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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. ...Read more

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 ...Read more

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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. ...Read more

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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. ...Read more

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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).. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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! ...Read more

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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. ...Read more

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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! ...Read more

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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... ...Read more

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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. ...Read more

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If U take a diuretic at a high dose, can it dehydrate lungs over time & cause increased mucus because I keep getting bronchitis since even in summer?

If U take a diuretic at a high dose, can it dehydrate lungs over time & cause increased mucus because I keep getting bronchitis since even in summer?

Diuretics=a tool for: Reducing kidney's ability to reabsorb as much water as brain orders. Thus not a cure; only treatment for excess body water retention/intake. But tools do not solve reason (s) & often drive additional problems, e.g. compromise lung mucociliary elevator http://goo. Gl/IXDw19 function, thus bronchitis. Confront reasons for problems. MyPurMist device very helpful for assisting lung cleaning ability. ...Read more

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Can you tell me if the diuretic hctz (hydrochlorothiazide) is safe for controlling high blood pressure?

Can you tell me if the diuretic hctz (hydrochlorothiazide) is safe for controlling high blood pressure?

HCTZ (hydrochlorothiazide) and BP: Hctz (hydrochlorothiazide) (h) can be used to treat hbp. It can cause some changes in your serum electrolytes with low sodium and potassium being a consequence of its use. Most people, as they age, need more than a diuretic to control their bp. If one has no edema, perhaps another class of drugs, ace-i or arb's, is a better choice as they provide more cardiac and renal protection than h. Speak to your doctor about this. ...Read more

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My mother was diagnosed with high calcium and had IV treatment over several days. Now she's on a diuretic and feels jittery. Why?

My mother was diagnosed with high calcium and had IV treatment over several days. Now she's on a diuretic and feels jittery. Why?

? Low calcium: Make sure her calcium is not too low now. Low calcium can cause parethesia, muscular irritability. Diuretics by itself should not cause jitteriness. ...Read more

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Can I take lithium (bipolar disorder)+ diuretics (high blood pressure) together? Thanks in advance.

Can I take lithium (bipolar disorder)+ diuretics (high blood pressure) together? Thanks in advance.

Yes, but: It's tricky because most diuretics (HCTZ (hydrochlorothiazide) and furosemide) reduce lithium excretion and can lead to accumulation and toxicity. Levels should be closely monitored. ...Read more

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My cardiologist prescribed toporol Xl 25 and half of water pill for high blood pressure and said I should take at night what are your thoughts?

My cardiologist prescribed toporol Xl 25 and half of water pill for high blood pressure and said I should take at night what are your thoughts?

Odd: Water pills ought to be taken in the morning, not night, so that you can sleep at night. Taking a water pill at night will disturb your sleep. Further, I am not sure what your additional risk factors for heart disease are, but Toprol (metoprolol) XL would not be my go to 2nd drug, rather an ACE inhibitor. THE ace inhibitor and HCTZ can be taken together in the morning. ...Read more

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My pressure last few days was high highest 167 /100. But after taking water pill which u missed for a few weeks now my pressure went diwn to 136/74 after taking EKG and ultra sound which prvd semigood?

Don't miss med doses: There are many BP meds, including diuretics (water pills) that are only $4 at chain pharmacies. There's no reason for most people with high BP to run out. Keeping BP under control is important for BP as high as yours, to prevent stroke, heart failure and kidney failure. ...Read more

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Can high dose diuretics cause severe muscle cramps, low iron and low iron saturation? Can any docs explain?

Can high dose diuretics cause severe muscle cramps, low iron and low iron saturation? Can any docs explain?

Yes and no: Rapid diuresis can cause muscle cramps but will not affect iron or iron saturation. The only thing that will affect iron and iron saturation is blood loss. ...Read more

Dr. Madhu Kandarpa
2,220 Doctors shared insights

Creatinine (Definition)

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