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I am 59 years old having ckd with hypertension. My latest test reports says that my s.creatinine - 0.76,bl. Urea-57, haemoglobin - 8.10, serum potassium-4.9 and serum sodium-141 and urine test were as follows. Albumin - 4+ and rbc-10-12 sugar - nil crystal- nil casts - nil pus cell - 0-2 and epithelial cells-nil. My blood pressure remains 135/80 always. I measure it every 4 hours at home but it remains in the same range 130-35/75-80. I am prescribed following medicines 1. Tablet cilnidipine 10 mg once daily 2. Tablet zytanix 2.5 mg twice daily 3. Tab. Dytor 20 mg twice daily. 5. Tablet atorva-e 10+10 mg once daily but I am depressed with the increasing proteinuria even after treatment from calcium channel blocker and diuretics combination. Two months before my albumin in urine was - + only but now its 4+. Earlier I was taking azilsartan 80 mg + amlodipine 5 mg but these drugs caused hyperkalemia so my doctor stopped it as my serum k was 6.4. He switched me to cilnidipine but since then my urine albumin has increased but bp control is better than azilsartan + amlodipine combo. So my question is does cilnidipine controls proteinuria or not? Do I need arb or acei class for controlling proteinuria or this 4th gen ccb (cilnidipine) will work for it. My doctor is not in favour of arb and acei class as it may cause hyperkalemia again. So please suggest should I continue with cilnidipine. If yes please suggest best medicine to bring down the urine albumin to minimum levels. Please help as I am very much depressed after seeing my results .also severe edema is there due to protein loss. Please help. I beg.


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