re: Kidney disease
Aug 10, 2008
Thanks Dr Henry, Asked Before but didn't want to write too long a question. 15 yrs nnrti's, several therapies, high 500's t's, <50 VD. Very elevated proteins and creatine. Sugar seems okay. BP recently brought under control.Thoughts?
Response from Dr. Henry
The risk for kidney disease depends on many factors. African Americans are at increased risk for HIV nephropathy (direct effect of HIV on the kidney). Effective treatment of HIV infection and underlying renal diseases is the best management. Controlling blood pressure and any diabetes is important. If there is some degree of renal dysfunction then avoiding potentially renal toxic drugs is important (ie switching off tenofovir if renal dysfunction is progressing often a consideration). KH
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