How to lower persistently high creatinine levels?

Question

Hello doctor,

My creatinine level is 1.56 mg/dL and my eGFR is 51 L > or equal to 60 mL/min/1.73m2. My creatinine level has always been high in the last 10 years and the values of eGFR are always in the borderline or low. Thyroxine level is usually low. What can I do to move the needle? I have stopped drinking alcohol and coffee. I am also monitoring with urine strips, but the creatinine value is 1.7 mg/dL day in and day out. What can I do to fix it without medications since I am worried about these values? I am currently taking tablets Metformin and Ketamine. Please note that the laboratory tests were done a few weeks back. Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I can understand your concern and I will definitely help you regarding the issue.

I just read your query and from what you have attached (attachments removed to protect the patient's identity), it appears that you have high cholesterol and high creatinine levels. I suggest you the following recommendations:

Start taking the tablet Rosuvastatin 20 mg once daily at night for six months to treat high cholesterol levels.
Stop the tablet Ketamine or any other nephrotoxic (the drugs that can harm kidney function) drug.
Stop smoking if you do have the habit.
Increase oral intake of water to only eight glasses per day and do not consume fizzy drinks.
Stop taking painkillers completely.
Thyroid function is perfectly fine so there is no need to do anything about it.

If after six months of following the above recommendations, the creatinine level still remains high, then you might have to do a renal ultrasound and biopsy after consulting a nephrologist.

I hope you will follow the advice and get better soon.

I wish you good health.

Thank you.