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Managing Side Effects of HIV TreatmentManaging Side Effects of HIV Treatment
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Is this a kidney problem
Sep 14, 2011

Does this elevate creatinine has to do with my regimen Or am I in danger with this result ? I receive my lab result but I'm afraid with kidney result . So here is numbers , creatinine 1.5 but normal is mg/ dl 0.6 to 1.1 eGFR ( white)56.1 ml/ min/1.73^2 eGFR ( black)67.9 ml/ min/1.73^2 Direct bilirubin 0.10 Cd4 418 , vl <40 % 22 what can do, I'll visit my ID doc tomorrow to show him the result and hear from him too.

Response from Dr. Henry

Those lab results suggest some level of kidney impairment. Evaluation of the urine for protein, appearance of kidneys (size), presence of other risk factors (high blood pressure, diabetes, excessive use of NSAID drugs like ibuprofen, African American background) and an overall clinical assessment is indicated. If you have HIV -related kidney damage then effective treatment of HIV is crucial for management. If the kidney function worsened further then the dose of some HIV drugs may need to be changed and some drugs stopped (ie tenofovir can contribute to renal problems is some patients). KH

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