Medical Management and Education

Managing medications carefully is key when dealing with kidney disease, as the kidneys play a crucial role in filtering out waste and excess substances from the body. If kidney function is compromised, it can affect how certain medications and supplements are processed, potentially leading to harmful side effects.

Here are some additional considerations when managing medications with kidney disease:

• Personalized Care Plans:
  Each individual with CKD or ESKD has unique needs. We work closely with you and healthcare teams to develop tailored care plans. This may include medications, dialysis options (hemodialysis or peritoneal dialysis), or kidney transplant discussions.
• Patient Education:
  We educate you about your condition, the importance of adhering to treatment plans, and understanding lab results (like glomerular filtration rate, or GFR) which empowers you to make informed decisions about your health. Offering clear information on the stages of CKD and when to start dialysis or consider a transplant is critical.
• Monitoring and Adjustments:
  Regular monitoring of kidney function, electrolytes, and other biomarkers is key. Adjusting treatments based on progress and changes in health status can help manage symptoms and slow progression.
• Medications to Avoid or Adjust:
  Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen, can be hard on the kidneys, especially if used long-term or in high doses. Your doctor may recommend alternatives. Some blood pressure medications, like ACE inhibitors or ARBs, can be protective for kidney function in people with kidney disease, but they may also need to be adjusted depending on kidney function levels.
• Vitamins and Minerals:
  Certain vitamins and minerals may need to be adjusted or monitored more closely in people with kidney disease. For example, excess potassium or phosphorus can be dangerous if the kidneys aren’t able to filter them properly. Vitamin D is often prescribed to help manage bone health, as kidney disease can interfere with the body’s ability to process vitamin D.
• Supplements:
  Always be cautious with over-the-counter supplements, as some may contain high levels of minerals or other ingredients that can impact kidney function. It’s always best to consult with your doctor before starting any new supplement.
• Hydration:
  Maintaining proper hydration is important, but the amount of fluid needed can vary depending on the stage of kidney disease and any other conditions like heart disease. Your doctor will give you specific recommendations based on your individual health status.
• Regular Monitoring of Blood Levels:
  It’s important to regularly monitor kidney function through blood tests (such as creatinine, glomerular filtration rate or GFR) and urine tests. This helps determine whether adjustments to medications or supplements are needed.
  
  Always keep an open line of communication with your healthcare team to ensure that you’re on the right track and taking care of both your kidneys and overall health.