You have taken a lot of medicine, but proteinuria still gets relapse frequently. Then do you need to change medication? In this article, let’s have a discussion.

There are two situations about whether you need to change medication or not.

1. Kidney patients who take steroids to lower proteinuria had better not change medicine at will.

The combination of steroids and immunosuppressants is the most mature and effective method for the treatment of renal inflammation and proteinuria.

For kidney patients who are not sensitive to steroids, adhering to adequate doses of steroids is usually effective in lowering proteinuria. And the combination of various medicines can help you achieve a better effect. For example, prednisone, tripterygium wilfordii, cyclophosphamide, cyclosporine A and so on are the more commonly used combinations.

For kidney patients who are sensitive to steroids, once they stop the medicine, the disease comes back, so they usually depend on steroids. Therefore, do not change the medicine easily, and decrease medicine gradually according to the treatment plan of the doctor and disease progress degree.

2. If you are taking an alternative protein lowering medication, change it as appropriate.

In addition to steroids, kidney patients may also use some other drugs to lower proteinuria, such as ACEI, ARBs, statins, leflunomide and so on. Among them, ACEI and ARB have similar therapeutic mechanisms and are substitutable drugs. Some patients may develop cough after taking ACEIs. If the condition is serious, you may consider changing to ARBs. And the same category of drugs can also be replaced such as losartan, irbesartan and other drugs can be selected according to their own symptoms.

The bad proteinuria lowering effect is not all caused by drugs. Whether you need to change the medicine or not must consider all aspects, otherwise blind drug change may aggravate the disease. For more information on kidney disease treatment, please leave a message below or contact online doctor.