Is renal protection medication necessary for someone on blood thinners and cardiac medications?

Hello doctor,

My brother has a tingling sensation on his left side; he was hospitalized, and extensive testing was performed; nevertheless, no abnormalities were discovered. He was kept on blood thinners and other medications. Again, he complains about having difficulty walking, particularly with his left side leg and hand. Other aspects were satisfactory. He was brought to the hospital once more, and an MRI of his brain proved that he suffered a stroke. But, to his astonishment, he was taking blood thinners and had a stroke. Again, the doctor recommended a computed tomography (CT) and scan, for which we had his kidney profile, revealing his creatinine level was 1.5, prompting us to see a nephrologist. They then spoke with additional nephrologists at the same institutions. He believes that if we add medicine, his blood pressure may drop, causing problems with his mental health. He advised against using medicine, instead recommending a USG of the abdomen or pelvis. Physiotherapy is recommended. He has made significant progress and can now walk practically normally. All of his CT Brain and scan findings came back normal.

Now, I have a request for your help with the following.

1. Does he need renal protection medication or therapy because his creatinine level is 1.27?

2. What is the role of the Mito Q-7 pill for renal patients, and will it improve kidney function?

3. What further precautions should this patient take to protect his renal?

4. Is there anything else you want to recommend from your end?

Hello doctor,

Thank you for the reply.

My brother had no cardiac problems, and his Echocardiogram and Holter 72-hour tests were routine. My brother is taking Concor 2.5 mg and is not taking Telma tablets. His blood pressure is steady on concor 2.5 mg since it was last measured at 130/80 mmHg with a pulse of 80. Since last month, he has been prescribed Concor 2.5 mg by his Cardiologist, who instructed us to discontinue Telma; if necessary, Stamlo 5.00 mg can be added. However, he is controlling his blood pressure with Concor 2.5 mg. Thus, we did not add Stamlo -5 mg. However, in a recent consultation, he proposed combining Telma 40 mg with Concor 2.5 mg and discontinuing Naxidos 500mg. However, another nephrologist from the same institution did not want to add Telma 40 mg because his hypertension was normal with Concor 2.5 mg. He simply proposed that Meto 7 Q be added. Yes, he was taking Telma 40 mg before the stroke. This has cleared up any confusion, and please inform us step by step on what our next goal should be and whether we should do anything to safeguard the kidney. Please assist.