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  5. I am suffering from nephrotic syndrome for 10 years and am currently taking prednisolone 10mg every other day and mycophenolate 360mg twice daily. What are the next steps?

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I am suffering from nephrotic syndrome for 10 years and am currently taking prednisolone 10mg every other day and mycophenolate 360mg twice daily. What are the next steps?

Asked by Male, 46 · 3 months ago

Dr Y Thulasi

Dr Y Thulasi

Pharm-D (Post baccalaureate)

3 months ago

The following steps include routine follow-up with a nephrologist, evaluating urine protein, kidney function, blood pressure, and medication side effects, and modifying dosages as necessary because you have chronic nephrotic syndrome while taking prednisolone and mycophenolate. Your doctor might think about alternate steroid-sparing choices if side effects arise or relapses persist.
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What are the side effects of my current medications?How often should I get kidney function tests?Can I change my diet to improve my condition?Are there any new treatments for nephrotic syndrome?Should I consider adding ACE inhibitors to my medication?

  1. Monitoring and Regular Follow-up

    • Schedule regular check-ups to monitor kidney function and protein levels in urine.
    • Watch for side effects of medications.

  2. Medication Management

    • Continue current medications: prednisolone and mycophenolate mofetil.
    • Discuss with your doctor about potential medication adjustments or additions like ACE inhibitors to reduce proteinuria.

  3. Lifestyle and Dietary Recommendations

    • Follow a diet with salt restriction and adequate protein intake.
    • Manage fluid intake and control blood pressure.

  4. Managing Complications

    • Monitor for complications such as infections, blood clots, and edema.

  5. Specialist Care and Additional Tests

    • Consult a nephrologist for specialized care.
    • Perform periodic tests like kidney function tests and lipid profiles.

  6. Patient Education and Support

    • Understand the disease and adhere to medication.
    • Recognize warning signs that need urgent medical attention.

Answered 3 months ago

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