Doctor insights on:
Lasix Elevated Creatinine
My 48 year old husband has had swollen ankles for the past 3 days. Heart is good, creatinine fine, no urinalysis done. On Lasix (furosemide) trial. Suggestions?
More info: First I would do urinalysis, kidney issues can cause swelling. Next, what meds is he on? Any new ones? Amlodipine (norvasc) is a common one that when added or increased can cause swelling, as well as other meds. ...Read more
Furosemide is a potent diuretic which increases dramatically urine output in most patients. It is most frequently used in patients who are fluid overloaded such as in congestive heart failure. Potassium , sodium and magnesium can be lost in excess with the use of Furosemide and must be closely monitored. It is much stronger than other diuretics used for ...Read more
CKD CHF patient on fluid 1L restriction BUN 53, Creatinine 2, going worse when on lasix (furosemide). At what BUN am I too dehydrated/cause for high BUN/C ratio?
Bun/creatinin ratio: Greater than 20 in the absence of GI bleeding usually indicate intra vascular volume depletion. If no peripheral edema discuss need for fluid restrictions with your doctor ...Read more
Bun creatinine high taking lasix 60 3 days week zaroxolyn (metolazone) 5 mg had chf in march, have afib on heart meds too. Help?
Labs: The increase in your creatinine can be dye to many reason. HF itself can cause abnormal kidney function. Excessive use of Lasix (furosemide) also can make things worse. Suggest you see a kidney doc soon and seek input. Testing is needed including a urine test and a detailed history and exam. Best of luck ...Read more
The nephrologist added extra lasix despite the creatinine level increase, can aldactone be less harmful than lasix? Any way to figure out water retention levels to prevent overuse of lasix at homr? Patient already maintaining 500ml fluid restriction
Chf patient under 1L water intake a day, BUN level 63, creatinine 2.0 on lasix 40 mg maintenance dosage. Should water intake be increased a little so the kidneys don't conserve water? Asking because of decreased urination wirh stable GFR. Check Adh?
CHF/ renal disease: This question is best asked to you cardiologist, as you have CHF and kidney damage so your fluid balance is very delicate. Drinking too much can put you back in CHF. Would recheck your creatinine and your creatinine clearence, EF on echocardiogram as it may have changed. Discuss this with your cardiologist ...Read more
Can I take lisinopril, amlodipine, and furosemide for high creatinine and protein in urine, while i also have high uric acid levels?
Meds for proteinuria: Lisinopril (l) is an excellent drug for reducing proteinuria (p) and blood pressure control. With a high creatinine, you need to be under the care of a nephrologist (n) to make sure you can preserve your kidney function as long as possible. You also need to have a 24-hour urine collection to assess your kidney function and to see how much p you have. An n can also help with your uric acid problem. ...Read more
Several possibilites: If your kidney function is normal, it means you're not fluid overloaded. If you have swelling, it doesn't mean that Lasix (furosemide) will fix it — many forms of swelling are not due to volume overload. If you have kidney disease, it could mean that the dose is inadequate — that's why it should only be given under the supervision of a doctor. Rarely, Lasix (furosemide) is not properly absorbed. ...Read more
Oral or IV: Oral — 30-60 min, iv — 15-20 min. ...Read more
Call your doctor: And discuss yor symptoms with them.Get a more detailed answer ›
Lasix (furosemide): This is a large dose which we would use only in unusual circumstance. The effect would depend on the patient's physiology. In an otherwise normal patient a large diuresis could be expected and possibly side effects such as ringing in the ears or hearing loss. In someone for whom the dose was appropriate we'd expect less diuresis and perhaps less in side effects. The answer is not simple ...Read more
Greater volume urine: First of all the Lasix makes more urine, hence your bladder fill up quickly. From here there could be two possibilities: 1- you may have over active bladder and you cannot control the urine when the urge to urinate strikes. Hence, with Lasix due to large volume of urine the urine leaks out witout your control. 2- underlying stress urinary incontinence (leakage upon coughing) gets worse. ...Read more
Maybe: What is your kidney function? The response of the kidney to lasix (furosemide) is complex and depends on getting lassie into your blood, then it is bound to albumin and delivered by a complex mechanism to the site where it works. Many factors affect the response of the kidney. You medications reflect you have PPH, and sounds like right side HF. You may not respond because your kidney is sensing pre-renal. ...Read more
Depends on cause.: Lasix (furosemide)'s a medicine / poison that tricks the kidneys into losing urine while the drug is around. It can damage the kidneys if urine production is shut down as a defense mechanism. However, if the kidney is shutting down because it's not getting enough blood (because the heart is too overburdened with fluid to pump effectively) then Lasix (furosemide) will be helpful in unloading excess fluid & helping the hear ...Read more
Diuretic combo: Yes, both can be taken at the same time. Lasix (furosemide) is a loop diuretic and can be used in combination with Metolazone to deliver a greater diuresis than Lasix (furosemide) gives by its self. You should have your doctor test the patient for other causes of leg edema, such as varicose veins or pulmonary artery hypertension to make sure the edema is being treated appropriately, good luck. ...Read more
Diuresis: First we have to know why the diuretic is needed. If it is indicated, the kidneys have to be good enough to respond, there has to be adequate protein components in the blood, there has to be enough blood pressure going to the kidney. If the data suggests the diuretic should work we work the dose up, sometimes we require a combination of diuretics. Sometimes we have to do dialysis to remove fluid. ...Read more
Don't think it known: Just being on Lasix (furosemide) doesn't necessarily care a risk of death. This medication is used for many purposes. Some patients on this are severely and critically ill and some not so very ill. I don't think you will find any statistics as you posed your question. Perhaps a different question is answerable. ...Read more