Anyone in the Club who has been doing Self Clean Intermittent Catheterization to empty Bladder? What problems do you face ? I would like to connect.

We went through every drug an Indian CKD patient ends up on — what works, what barely works, and what we just keep prescribing. Some of it ruffled feathers. Most of it should have been said years ago. What we covered: - The Foundation 3 every CKD patient should be on — ACEi/ARB, SGLT2, statin - The conditional drugs that need a lab number, not a habit — phosphate binders, vitamin D analogues, iron/ESA - Why sodium bicarbonate is in half the prescriptions it shouldn't be in - Ketoanalogues — when they earn their price, and when they don't - Arkamin (clonidine) — the slide that caused the most uproar, with good reason - The yellow zone — cilnidipine, forever-PPIs, B-complex by reflex, herbal "kidney tonics" - A side-by-side of the typical 8-drug Indian CKD bag vs a clean 4–5 drug evidence-backed regimen The replay + slides are now in the Webinars section of the club. 👉 Here's what I want from you this week: 1. Watch the replay with your current prescription in your hand. 2. Drop a comment below with the medicines in your bag — I'll personally tell you which ones are foundation, which need a lab to justify, and which deserve a second-opinion conversation with your doctor. 3. Share this post with one person you know on a long CKD prescription. The single most useful thing this community can do is stop quietly tolerating polypharmacy. 4. Hit ❤️ if you found it useful so we know to keep doing the harder, more honest sessions. Reminder — never stop a prescribed medicine without speaking to your treating doctor. This is education to help you ask better questions, not a green light to deprescribe yourself. Let's clean up Indian CKD prescribing — one bag at a time. — Dr Arjun

A kidney patient, advised to restrict salt, and is taking telmisartan 20 mg to control blood pressure. If he consumes a little extra salt but continues taking telmisartan 20 mg, to nulliy the salt's effect on BP is that ok? Does salt affect the kidneys or nephrons in any way other than increasing blood pressure, thus making it bad for nephrons not only as an agent to raise BP?

Hi everyone I m new member. How can I confirm the CKD . Cystatin C Or creatinine gfr which is more accurate. What is the significance of combined gfr. My cystatin C gfr 74. Creatinine gfr is 111. I have stone history in one kidney in past. I have bubbles in urine. But no protein in dipstick test and uacr is less than 30. Please guide me. Thanks

My blood pressure had been running low for a few days, but yesterday morning it dropped to 80/50. I started sweating, my vision went dark, and I felt dizzy. I went to the hospital emergency room and saw my nephrologist. He discontinued both of my blood pressure medications—Telmisartan 40 and Metoprolol XR 12.5. The nephrologist also advised me to consult a cardiologist. The cardiologist agreed that it was best to stop both medications for the time being, until my blood pressure returned to normal levels. After that, I met the nephrologist again. Upon my strong insistence, instead of discontinuing the Telmisartan 40, he prescribed half the dose. I have proteinuria, which is why the nephrologist prescribed Telmisartan 40. While it didn't completely stop the protein leakage, it certainly reduced it. I haven't taken any blood pressure medication since last night, yet my blood pressure is currently 90/60. In the blood test I had at the hospital yesterday, both sodium and chloride levels came back below the normal range. This is the first time my test results have shown sodium and chloride levels outside the normal range. Since my blood pressure is still 90/60, I cannot even take half a dose of Telmisartan. I am afraid that stopping Telmisartan will further increase my protein leakage.