Blood Pressure Medications: Dr. Rosansky Reveals the Best and Safest to take

Episode 289: Join Kidney Health Coach James Fabin and the renowned Nephrologist, Dr. Rosansky, as we dive deep into the world of blood pressure medications, both for those with Kidney Disease and those without. Are you wondering if lisinopril, amlodipine, or thiazide diuretics are right for you? Look no further! We'll explore the benefits, potential risks, and the reasons these are commonly prescribed for kidney health. Harness the power of knowledge to make informed decisions for your kidney health journey.

Here are some of the blood pressure medications Dr. Rosansky spoke about to help with reducing protein in urine (proteinuria or albuminuria):
1. ACE Inhibitors: ACE inhibitors work by blocking the action of the enzyme responsible for the production of angiotensin II, a hormone that narrows blood vessels and increases blood pressure. Some common ACE inhibitors include:
- Benazepril (Lotensin)
- Captopril (Capoten)
- Enalapril (Vasotec)
- Fosinopril (Monopril)
- Lisinopril (Prinivil, Zestril)
- Quinapril (Accupril)
- Ramipril (Altace)

2. ARBs: ARBs block the action of angiotensin II by preventing it from binding to its receptor. This helps relax blood vessels and lower blood pressure. Some common ARBs include:
- Candesartan (Atacand)
- Irbesartan (Avapro)
- Losartan (Cozaar)
- Olmesartan (Benicar)
- Telmisartan (Micardis)
- Valsartan (Diovan)

3. SGLT-2 Inhibitors:
- Canagliflozin (Invokana)
- Dapagliflozin (Farxiga)
- Empagliflozin (Jardiance)
- Ertugliflozin (Steglatro)
- Sotagliflozin (Zynquista)

Dr. Rosansky is a highly respected nephrologist and an esteemed author of the book "Learn the Facts about Kidney Disease". With an illustrious career dedicated to the field of nephrology, he has made a significant impact on countless lives through his clinical practice and his insightful writing. His book has served as an essential guide for many patients navigating kidney disease, demystifying complex medical concepts and providing practical advice for managing the condition. Dr. Rosansky's commitment to patient education and his deep expertise in kidney health have firmly established him as a leading authority in the field of nephrology.
----------

IMPORTANT: This video is intended to be informational only. It is not a medical consultation, nor is it personalized medical advice. This video is not meant to replace a physician's advice, supervision, and counsel. For medical advice, please consult your physician.

#bloodpressure #KidneyHealth #KidneyDisease #ckd #DadviceTV #DrRo

[charmingintrovert]

Thank you, James and Dr. Rosansky. Always learn a lot when you have Dr. Ro on the show!

[Umbertomanens]

…You ‘re two angels for all of us with kidney problems cause you ease our anxiety and fears…❤ from an 🇮🇹 italian doctor…my Respect to great colleague Steve Rosansky and fantastic James …

[robertusga]

Super helpful! Thanks Doc and Dad! I was put on Losartan and my eGFR dropped to 58 and my doc and I both freaked out. Knowing this is expected takes a load off! Turns out I was dehydrated and eGFR went back to 63 after properly hydrating. I also was lifting more weights which upped my creatinine. Anyway, thanks for this super helpful info!

[gifgt]

Is telsmisartan considered the safest long term with least amount of side effects?

[grantlawrence]

I believe the doctor says it can lower a bit but overall Losartan can extend life and help with hardening of the arteries etc. He said Losartan was one of the better drugs for kidney disease. Hope that helps. The Dr also mentioned a low protein diet but not too low for kidney health as well keeping top number BP within 130 to 120. Also he mentioned protein in the urine along with high gfr as being more dangerous.

[carolmiller]

'I am on lisinapril hydroclothizide 20-12.5Mg
Xarelto 15. Atorvastatin 10M Ferosul 325 every other day I'm at stage 3a CKD I'M 'also getting treatment for lumbar pain relief and venous leg ulcer. I have an an appointment for bilateral imaging on 4th November 😅

[juvysmith]

Hello sir/ Madam, Thank you . I love your program, VERYVERY informative. . Thank you for sharing greatly appreciated xxxlovely

[bluefluke]

Thanx for another very helpful video. However, please get closed captions. I'm hearing impaired. I'm in stage 3 so I still have time to take action.

[GeorgeP.Webster]

Amlodipine also messes with your gums. Periodontist asked if I was taking Amlodipine as my gums were “spongey”, bled easily. My doctor lowered my Amlodipine Rx from 20mg to 10mg. My gums firmed up and are healthy. Minoxidil is what finally really lowered my blood pressure.

[anitarowlett]

Insulin resistance is the basic cause of hypertension, is my understanding.

[Oceanman]

Some meds side affects affect breathing like Metrapol. What are best BP meds if you have AFib!

[slporter]

Did the doctor say that Losartan can lower your egfr? did he mean it can raise it as in from 40 to 50 or lower as in from 50 to 40? thank you

[joshuabradshaw]

On lisinopril 10 mg per day for high blood pressure. Cut out almost all sodium and watch potassium intake. Checking my blood pressure each day. Trying to regulate stress through exercise and sufficient sleep. I need to get formally tested for CKD but there is protein in my urine so I will be seeing a doctor soon. Urine is bubbly/foamy but goes from light to medium yellow.

[stevematthews]

Metoprolol can cause panic attacks and i already have at times taking it makes it worse . When i have an attack i have to walk its the only way i can deal with it and i have had them to last for hours and after being home for 2 weeks after bypass surgery i was on metoprolol and startd having the attacks and the walking was very hard

[irenebudisantoso]

I'm 59 years, female (for added information)

[delreid]

Thanks for all your advice, great information. Having lost weight, what’s some healthy eating for putting on some pounds. Anxiously Awaiting your response with thanks.

[JasmeenNatt-ik]

Can you have a discussion specifically about raised potassium due to ARBs and what to do about it. Thanks!

[jayar]

Hi Doc good day
I have creatinine of 1.7 mg/dl
Is my daily meds safe for my kidneys im taking amlodipine, telmisartan, feboxustat, ketoanalogue and astorvastatin hope you can help me thanks

[jamesdeschenes]

Is amplodipine derived from rattlesnake venom? (Very informative show, thank you both)

[ofeliahawkins]

Can you pls discuss a kidney disease such as membranous nephrophaty and treatment