Which BP medicine is good for someone who had a kidney transplant?

Question

Hello doctor,

I had a kidney transplant 17 years ago. My local doctor is on a trip overseas. So, I need some help. My only problem now is an increase in the BP. It shows 170/110 and the creatinine level is 1.7. This is the second time, I am getting such levels. Three years ago, I got the same. But, that is due to an infection. But, now, there are no other problems indicated in the blood test and urine test. All are normal. Only creatinine levels and BP are the problems. Now, I take Atan 50 mg twice a day. Can I take Amlodipine or Enalapril? How to reduce BP and creatinine level. I want an online consultation.

Answer 1

Hello,

Welcome to icliniq.com.

Serum creatinine levels can be reduced only with the aim of keeping blood pressure as low as 120/80 mmHg.

I would recommend you get your complete blood count, and urine culture done.

You can start with Amlodipine 5 mg once daily and can increase it to twice a day if the BP is not controlled.

You should not take Enalapril.

I hope it helps you. If you have any further query please ask me.

For more information consult a nephrologist online.

Answer 2

Hello,

Welcome back to icliniq.com.

Amlodipine has minimal side effects as per clinical experiences. I am not happy with Lisinopril as it carries a risk of hyperkalemia in all CKD (chronic kidney disease) patients and that can be life-threatening.

I need to know if you have experienced any side effects with Amlodipine. If yes, mention them and I will help you with a better option.

You can buy Omron or Phillips digital instrument.

For more information consult a nephrologist online.