We went through every drug an Indian CKD patient ends up on β what works, what barely works, and what we just keep prescribing. Some of it ruffled feathers. Most of it should have been said years ago.
What we covered:
- The Foundation 3 every CKD patient should be on β ACEi/ARB, SGLT2, statin
- The conditional drugs that need a lab number, not a habit β phosphate binders, vitamin D analogues, iron/ESA
- Why sodium bicarbonate is in half the prescriptions it shouldn't be in
- Ketoanalogues β when they earn their price, and when they don't
- Arkamin (clonidine) β the slide that caused the most uproar, with good reason
- The yellow zone β cilnidipine, forever-PPIs, B-complex by reflex, herbal "kidney tonics"
- A side-by-side of the typical 8-drug Indian CKD bag vs a clean 4β5 drug evidence-backed regimen
The replay + slides are now in the Webinars section of the club.
π Here's what I want from you this week:
- Watch the replay with your current prescription in your hand.
- Drop a comment below with the medicines in your bag β I'll personally tell you which ones are foundation, which need a lab to justify, and which deserve a second-opinion conversation with your doctor.
- Share this post with one person you know on a long CKD prescription. The single most useful thing this community can do is stop quietly tolerating polypharmacy.
- Hit β€οΈ if you found it useful so we know to keep doing the harder, more honest sessions.
Reminder β never stop a prescribed medicine without speaking to your treating doctor. This is education to help you ask better questions, not a green light to deprescribe yourself.
Let's clean up Indian CKD prescribing β one bag at a time.
β Dr Arjun