What medicine should uremia patients take: hot topics and structured data on the Internet in the past 10 days
Uremia is the end stage of chronic kidney disease, and patients need to rely on drugs for a long time to control symptoms and delay the progression of the disease. Recently, discussions about drug treatment of uremia have been hot on medical forums and social media. This article will combine hot topics in the past 10 days to provide patients and their families with a structured medication guide.
1. Classification and functions of commonly used drugs for uremia
| drug class | Representative medicine | Main function | Popular discussion points |
|---|---|---|---|
| antihypertensive drugs | Valsartan, amlodipine | Control high blood pressure and reduce the burden on kidneys | Combination drug regimen (new research in 2024) |
| Phosphorus binder | Lanthanum carbonate, sevelamer | Lower blood phosphorus levels | Comparison of side effects of new phosphorus binders |
| erythropoietin | EPO injection | Improve anemia | Changes in medical insurance reimbursement policies |
| Active Vitamin D | Calcitriol | Regulate calcium and phosphorus metabolism | Dose adjustment and osteoporosis |
2. Recent hot and controversial topics
1.Controversy over auxiliary treatment with traditional Chinese medicine: The traditional Chinese medicine prescription recommended by a certain Internet celebrity doctor has aroused doubts from professional doctors, and experts have warned that they need to be wary of drug-induced kidney injury.
2.New oral phosphate binder launched: Ferric ammonium citrate, approved in March 2024, triggered discussions among patient groups, and its gastrointestinal tolerability became the focus.
3.Medication adjustment for dialysis patients: Multiple medical accounts reminded that special attention should be paid to the timing of taking antihypertensive drugs on dialysis days, and the relevant popular science videos were viewed more than 500,000 times.
3. Medication Precautions (Structured Recommendations)
| scene | Medication recommendations | Monitoring indicators |
|---|---|---|
| combined with hypertension | Take ARB antihypertensive drugs on an empty stomach in the morning | Daily morning and evening blood pressure records |
| Hyperphosphatemia | Chew phosphorus binders with meals | Monthly blood phosphorus testing |
| anemia treatment | EPO subcutaneous injection + iron supplement | Hemoglobin monthly check |
4. The five issues that patients are most concerned about (according to statistics from the Q&A platform)
1. Is it necessary to adjust the medication dosage if the creatinine is above 700?
2. What drugs can delay entry into dialysis?
3. How to relieve constipation after taking phosphate binders?
4. Can erythropoietin injection be performed by myself?
5. How to arrange the time when taking multiple drugs at the same time?
5. Latest suggestions from experts (updated in 2024)
1. emphasizeIndividualized medication planimportance, needs to be adjusted according to residual renal function
2. Recommended useMedication Record APPManage complex medication regimens
3. Reminderdrug interactions, especially when combined with antibiotics and immunosuppressants
4. It is recommended to conduct a comprehensive evaluation every 3 monthsDrug efficacy and side effects
Note: The data in this article are synthesized from the National Health Commission’s guidelines, interviews with nephrology experts in tertiary hospitals, and patient community discussions. Please follow your doctor’s advice for specific medication use. Recent hot topics show that patients with uremia are increasingly concerned about the economic burden and convenience of taking medicines. Sevelamer carbonate dispersible tablets, which will be newly included in medical insurance in 2024, has become a hotly discussed drug.
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