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  5. I was recently diagnosed with IgA nephropathy after a kidney biopsy showed 8 out of 20 shrunken glomeruli, presenting with proteinuria, a blood pressure of 125/85 mmHg, and no facial or peripheral edema. One week after starting treatment with Omnacortil 40 mg and Sevcar, my serum creatinine rose sharply from 4.1 to 7.0 mg/dL; given this rapid decline in kidney function, is it safe to continue the current medication regimen as my doctor advised, or should I seek an immediate second opinion?

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I was recently diagnosed with IgA nephropathy after a kidney biopsy showed 8 out of 20 shrunken glomeruli, presenting with proteinuria, a blood pressure of 125/85 mmHg, and no facial or peripheral edema. One week after starting treatment with Omnacortil 40 mg and Sevcar, my serum creatinine rose sharply from 4.1 to 7.0 mg/dL; given this rapid decline in kidney function, is it safe to continue the current medication regimen as my doctor advised, or should I seek an immediate second opinion?

Asked by Male, 26 · 12 days ago

A rise in serum creatinine from 4.1 to 7.0 mg/dL in just one week is significant and requires immediate medical evaluation. While Omnacortil (prednisolone) and Sevcar (sevelamer) are standard treatments, this rapid decline means your current regimen needs urgent review. Please contact your treating nephrologist immediately to discuss these results. Given the rapid change, seeking an urgent second opinion from another nephrologist is a very reasonable and safe step to ensure your peace of mind and safety.
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I was recently diagnosed with IgA nephropathy after a kidney biopsy showed 8 out of 20 shrunken glomeruli, presenting with proteinuria, a blood pressure of 125/85 mmHg, and no facial or peripheral edema. One week after starting treatment with Omnacortil 40 mg and Sevcar, my serum creatinine rose sharply from 4.1 to 7.0 mg/dL; given this rapid decline in kidney function, is it safe to continue the current medication regimen as my doctor advised, or should I seek an immediate second opinion?

Answered 12 days ago

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I was recently diagnosed with IgA nephropathy after a kidney biopsy showed 8 out of 20 shrunken glomeruli, presenting with proteinuria, a blood pressure of 125/85 mmHg, and no facial or peripheral edema. One week after starting treatment with Omnacortil 40 mg and Sevcar, my serum creatinine rose sharply from 4.1 to 7.0 mg/dL; given this rapid decline in kidney function, is it safe to continue the current medication regimen as my doctor advised, or should I seek an immediate second opinion? | Apollo Pharmacy