We went through every drug an Indian CKD patient ends up on — 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 — ACEi/ARB, SGLT2, statin - The conditional drugs that need a lab number, not a habit — phosphate binders, vitamin D analogues, iron/ESA - Why sodium bicarbonate is in half the prescriptions it shouldn't be in - Ketoanalogues — when they earn their price, and when they don't - Arkamin (clonidine) — the slide that caused the most uproar, with good reason - The yellow zone — 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 4–5 drug evidence-backed regimen The replay + slides are now in the Webinars section of the club. 👉 Here's what I want from you this week: 1. Watch the replay with your current prescription in your hand. 2. Drop a comment below with the medicines in your bag — 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. 3. 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. 4. Hit ❤️ if you found it useful so we know to keep doing the harder, more honest sessions. Reminder — 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 — one bag at a time. — Dr Arjun

Has anyone got a similar CKD situation like mine? Would love to chat about how they are the delaying the progress.

What supplements can be used to keep kidney healthy , can nefrosave used regularly?

@Arjun Sabharwal Hello sir, my eGFR is 100, both my kidneys are weak, I have protein in my urine, I've been feeling a burning sensation in the bathroom when I urinate for the last 10 days. Please check my report and help me

Good afternoon everyone, I am Vivek resident of Gurgaon. Recently, I have been diagnosed with Renal Dysfunction and CKD Stage 3. I am a patient of Spastic Paraparesis ( Undiagnosed? even Genetics test came out negative) since April 2010. I had some Bladder Control issues for 15 + yrs but I was never told by any Neurologist ( I had consulted 6 in this time period) to use Intermittent Catheterization. What is the cause of CKD ? Now, Nephrologists at both Medanta and Artemis have not recommended biopsy for me. Doctors at Medanta believe I could have IgAN based on reports but then HOD at Artemis says it is very likely bladder which caused this. What is the prognosis for me ? I don't have diabetes, my BP is not very high, I have been tested on most panels for Auto immune disease, all negative. Is obstructive Nephropathy allows some kind of improvement if bladder problem is fixed? And is UPCR more reliable than protein urine spot for an underweight individual? In Urinalysis I get Protein Absent, but in UPCR I have 12 mgdl My reports of Feb and March are attached for further investigation, I am on Cilacar T ( 10 mg Clinidipine and 40 mg Telmisartan), 0.25 mcg Calcitriol since last 2 months, previous doctor advised Dapagliflozin 10 mg but HOD at Artemis say it is not of major use for me. Now, what to do here ? I have another question how to increase weight along with carefully handling PRAL and no Animal protein. I am underweight just 54 kg, 178 cm. I need atleast 60+ kg. Diet is something I need guidance