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

I had surgery for a ureter stone 8 months ago. After the operation, I developed a bacterial infection. The bacteria were resistant to almost all antibiotics, so I had to take high-dose antibiotics twice. The infection eventually got cured, but since then I have been noticing foam in my urine for about 6 months. My creatinine level 1.27 and my eGFR 76. I also experience chest pain and have lost a lot of weight. Before the operation my weight was 59 kg, but now it is 52 kg. I had a morning second urine ACR test done, and it came within the normal range. I also feel stressed and anxious, especially after seeing the foam in my urine. I feel very weak, and my hemoglobin has also decreased slightly — it was previously 14.5, and now it is 12.4.

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