The treatment of chronic kidney disease requires the use of many drugs, such as hormones and other anti-inflammatory drugs, immunosuppressants, antihypertensive drugs, lipid-lowering drugs, kidney-protecting drugs, etc. The kidney is one of the organs that metabolize drug waste. Therefore, in order to avoid drug damage to the kidney, reduce the metabolic burden, and at the same time ensure the therapeutic effect, it is necessary to “use the drug to the edge of the knife”.
However, although some patients have been insisting on taking medicine, their condition is still unstable and even worsens repeatedly! Medication is only the first step in treatment, and using the right medicine and knowing how to use it is the key part of stabilizing the condition.
Some patients often have three misunderstandings when taking medication, which is very unfavorable to their condition, and many do not. Notice!
Two or three kinds of drugs are used together to prevent kidney damage
Some nephropathy drugs cannot be taken together, especially drugs with the same mechanism of action are generally taken in different ways.
Cold medicines:
Some people with kidney disease will take several cold medicines at the same time in order to recover quickly and avoid the recurrence of proteinuria.
Non-steroidal cold medicines are commonly used for colds. The paracetamol in these medicines is nephrotoxic and not very friendly to the kidneys. For example, ibuprofen, aspirin, Gankang, Baijiahei, etc., as well as some Chinese patent medicines such as Xiaochaihu Granules, etc., have the same mechanism of action. Taking 2 or 3 kinds of drugs at the same time will not increase the effect, but increase the risk of renal toxicity.
antihypertensive drugs:
Lesothos and sartans are commonly used antihypertensive drugs of RAS blocking inhibitors, which also have the effect of reducing protein and protecting kidneys. The two have the same mechanism of action and can replace each other. They cannot be taken at the same time. Indiscriminate use will increase creatinine and damage the kidneys.
Immunosuppressants:
Tacrolimus and cyclosporine are two commonly used potent immunosuppressants, both of which have certain nephrotoxicity. Cannot be used in combination.
There are many other drugs for similar situations. When taking it, kidney friends must understand that it does not mean that a lot of drugs and a sufficient dose will have a good effect, but that the least amount of drugs will exert the maximum effect, which is more beneficial to the disease. .
Discontinue medication at will , Insufficient drug effect is easy to repeat
Most patients have no problem with the drug regimen, but they are too anxious to stop the drug, resulting in unstable disease. The word “slow” must be remembered when stopping medication for kidney disease. Stopping medication needs to be gradual and slow to allow the kidneys to have a process of adaptation.
Therefore, there must be a basis for stopping medication for kidney disease. According to the actual situation, stopping medication does not mean that the condition is unstable, and it is one of the means to maintain renal function.
Only focus on the effect of drugs, not on daily care
Insisting on medication is indeed a The basis for maintaining the stability of kidney disease, but it does not mean that other treatment methods can be ignored. The use of many drugs needs to be combined with daily diet, immunity and other aspects of management to eat, in order to play a significant role.
For example, antihypertensive drugs need to pay attention to a low-salt diet and proper weight control, which will not lead to a discount on the efficacy of the drugs; hormone drugs need a light diet to enhance immunity, which is more helpful to play a role, etc.
How to improve the effect of kidney disease medication, avoid the harm and avoid kidney failure? Two points of medication methods must be understood:
According to their own conditions, understand basic medication knowledge
General kidney diseasewithdrawal should meet three criteria:patients feel well, the index before and after significantly decreased or recovered, and renal function progressed very slowly or stopped.
There are three things that need to be considered before stopping the drug: the pathological type of kidney disease, if the pathology itself is serious and there is a chronic underlying disease, it is usually necessary to take the drug for life; the stage of the kidney disease, basically can not stop the drug after the third stage of kidney disease ; The severity of the complications, if there is obvious cardiovascular disease, etc., it is basically difficult to completely stop the drug.
Regular review is the guarantee of drug efficacy
The drug efficacy is not in place, Check it out. Regular review of kidney disease is an important means to ensure the effect of drugs. Any drug use, drug change, or drug withdrawal should be made on the basis of a clear understanding of various indicators and renal function, rather than a feverish decision.
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