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Author Topic: Which doctor to believe?  (Read 7331 times)
Henry P Snicklesnorter
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« on: November 16, 2010, 07:15:59 AM »
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« Last Edit: October 23, 2013, 07:05:42 AM by Henry P Snicklesnorter » Logged
greg10
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« Reply #1 on: November 16, 2010, 07:50:13 AM »
The half-life of ramipril is variable (3–16 hours), and is prolonged by heart and liver failure, as well as kidney failure.

You should probably listen to your cardiologist in this case, although the nephrologist should have known better.  Take your own blood pressure if you can and monitor it every fifteen minutes to half hour when and if you get back on the lower dosage ramipril again.  If you see that your blood pressure drops below 100/70, call someone to watch over you.

http://en.wikipedia.org/wiki/Ramipril
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Newbie caretaker, so I may not know what I am talking about :)
Caretaker for my elderly father who has his first and current graft in March, 2010.
Previously in-center hemodialysis in national chain, now doing NxStage home dialysis training.
End of September 2010: after twelve days of training, we were asked to start dialyzing on our own at home, reluctantly, we agreed.
If you are on HD, did you know that Rapid fluid removal (UF = ultrafiltration) during dialysis is associated with cardiovascular morbidity?  http://ihatedialysis.com/forum/index.php?topic=20596
We follow a modified version: UF limit = (weight in kg)  *  10 ml/kg/hr * (130 - age)/100

How do you know you are getting sufficient hemodialysis?  Know your HDP!  Scribner, B. H. and D. G. Oreopoulos (2002). "The Hemodialysis Product (HDP): A Better Index of Dialysis Adequacy than Kt/V." Dialysis & Transplantation 31(1).   http://www.therenalnetwork.org/qi/resources/HDP.pdf
RichardMEL
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« Reply #2 on: November 16, 2010, 06:16:15 PM »
wow. that's scary.

I would go with the cardy on that one. You've experienced that the dose you took was WAY too high for you. If you're concerned about taking any of it again that's reasonable.. what is your usual BP without meds? I would try the lower dose and see what happens and monitor your BP closely over the next few hours.
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3/1993: Diagnosed with Kidney Failure (FSGS)
25/7/2006: Started hemo 3x/week 5 hour sessions :(
27/11/2010: Cadaveric kidney transplant from my wonderful donor!!! "Danny" currently settling in and working better every day!!! :)

BE POSITIVE * BE INFORMED * BE PROACTIVE * BE IN CONTROL * LIVE LIFE!
Henry P Snicklesnorter
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« Reply #3 on: November 17, 2010, 05:14:19 AM »
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« Last Edit: October 23, 2013, 07:03:21 AM by Henry P Snicklesnorter » Logged
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