Each time ketogenic diet (KD) appear in discussions, there are lots of conflict regarding its safety and efficacy in CKD patients. However, in ADPKD it is some what different. Trials in animal models showed that the metabolic state of ketosis is important for inhibiting PKD progression. However, clinical trials in humans were lacking, many are … Continue reading Ketogenic diet in patients with ADPKD, a pilot study!
Piracetam for CKD patients
My stage 4 CKD patient recently suffered a cerebrovascular stroke, on discharge from ICU, he was prescribed Piracetam 1200 mg bid, and Aniracetam 750 mg bid. After discharge, he came to the OPC for a follow up visit. His eGFR was stable at 25 ml/min. When I saw his prescription, I revised the dose of … Continue reading Piracetam for CKD patients
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