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| I have gone through your case file, your blood pressure and serum triglycerides are well under control , I would suggest you can continue with tab lisinopril 10 mg and omega 3 supplements. |
As far as your s.creatinine is concerned it is still within normal limits and lisinopril is a very good drug for kidney, but you should periodically monitor blood urea and serum creatinine.
Maintain your lifestyle modifications and reduce junk foods.
walk for atleast 4 to 5 kms per day for atleast 5 days in a week.
Eat healthy foods like more of green vegetables and fruits.
Monitor your blood pressure periodically .
Patient replied :
Thank you for responding to my initial consultation. I have a couple of questions.
How often should I monitor serum creatinine and blood urea?
And the second question
The second blood work indicated an increase in s. creatinine and a decrease in blood urea after taking 10mg of lisinopril for three weeks. But now, I have been asked to double the dosage to 20mg per day because my blood pressure is still a bit higher that normal (between 130/85 to 140/90). Do you think I should continue with 10mg/day or go to 20mg/day? I am sure 20mg/day will have worse effect on creatinine and blood urea than 10mg. What do you think?
Thank you in advance.
As your blood pressure (< 140/90 )is controlled with 10 mg lisinopril , i would suggest to continue the same and periodically monitor blood pressure and B.Urea and S.Creatinine once in 2 months .In case you are require to the increase the dose in future for the control of blood pressure , then you have to monitor after 2 weeks and if no change ,then once in 2 months.In case you taking and other drugs which may interact with Tab Lisiniopril ,then you check it after 2 weeks.
Maintain low salt diet .