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Hi my name is Linda Otto Shu and I'm a pharmacist at UC San Diego chronic kidney disease clinic in this module you are going to learn about medications used in kidney disease I hope you find the information you need to make an informed choice about what medicines to take to maintain your kidney health one of the most important things you can do for your kidney function and health is to control your blood pressure ask your kidney doctor about what your target blood pressure should be this blood pressure goal is individual and set depending on a number of factors your level of kidney disease if there's any protein in your urine and your age check your blood pressure at home and bring in your records to your next doctor's appointment studies have shown that blood pressure measured at the doctor's office might not be reflective of your blood pressure at home your kidney doctor will review your home readings as well as the office readings there are several different types of medications that are used to lower high blood pressure these include ACE inhibitors angiotensin receptor blockers loop or thiazide diuretics and calcium channel blockers if you forget to take your blood pressure medicine don't double up on your dose the next day as this can affect your kidney function oh and if you run out of certain blood pressure medicines due to refill problems be careful because your blood pressure can go up make sure to refill your prescriptions a few days before you run out of the medication viii inhibitors and angiotensin receptor blockers are medications that reduce or block a powerful blood pressure hormone ACE inhibitor drug names usually end in pril PRI el for example or angiotensin receptor blockers usually end in art an AR t8 like or these medicines are beneficial because not only do they lower blood pressure but they also reduce protein in the urine these medications have been shown to slow the progression of chronic kidney disease here's a tip that you might not be aware of take these medicines in the evening as they may work better to lower your blood pressure these medications are usually very well tolerated but they can raise your blood potassium level and they can affect your kidney function to minimize this risk check with your doctor if you need to cut back on foods that are high in potassium while taking this medication also if you are sick and not able to drink enough fluids your doctor may temporarily stop the medication until you're feeling better and able to drink more this will help to prevent an injury to your kidney diuretics are medications commonly referred to as water pills medications in this class include hydrochlorothalonil and diuretics work by removing excess salt and water from your body for this reason it's very important to reduce the amount of sodium in your diet.