Q. I am worried about the side effects of diuretics on kidney. What shall I do?

Hi doctor,

Three months ago, I had a heart attack. Then, I went through angioplasty with stenting. Post heart attack, I was diagnosed with moderate systolic HF with EF at 35%. Currently, I am on Clavix, Rozucor 10 mg, Tide 5 mg, Metocard-XL, Planep 25 mg and Telma 20 mg. I am improving well. My EF has improved to 40% on first follow up after a month. I have lost about 6 kg to 7 kg weight in the last three months. I am under excellent diet control and daily walking about 70 minutes. I gave up smoking completely. One week back I had my blood checked for various profiles and regarding which I have a few queries. My lipids are on the low side that is total cholesterol 123 mg/dL, HDL 23 mg/dL, and LDL 61 mg/dL. I was on Rozucor 40 for the first one month and then I am on Rozucor 10 mg. Am I below the target range? If yes, can I get the dose reduced further? My uric acid is high of 8.1 mg/dL. I read that this may happen due to hypertensive medicines, particularly diuretics and ARBs. Is the high uric acid a point of concern? Should I consult my treating doctor? My kidney profile with sodium and potassium are within limits. My BP is constantly on the lowest average of 90/55 mmHg with heart rate of 65 beats per minute to 72 beats per minute. Can I reduce my medicines, particulary diuretics? I am worried about the side effects of diuretics on the kidney. My alkaline phosphatase is at 131 U/L, just 3 points above the higher limit of 128 U/L. Is it fine to have this reading post myocardial infarction? Please explain.