Patient's question:
I have kidney insufficiency, and my blood pressure has recently gone up again. I feel uncomfortable all over, dizzy, and weak. I want to take many medications at once. What antihypertensive drugs should people with kidney insufficiency take?Doctor's answer:
The use of antihypertensive drugs in patients with impaired renal function requires certain special considerations, as some antihypertensive drugs can easily affect renal blood flow, while others can protect the kidneys, such as angiotensin-converting enzyme inhibitors or angiotensin receptor antagonists. In early stages of renal impairment, using these drugs can slow the progression of renal impairment and effectively control blood pressure. However, when renal impairment reaches a certain stage, these drugs may affect cerebral edema in the kidneys. In such cases, it is recommended to use calcium channel blockers and α, β receptor blockers. Patients with renal impairment should adjust their medication regimen according to different stages of the disease.