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Kidney disease due to longstanding hypertension

Also known as Hypertensive Renal Disease and Hypertensive Nephropathy

Hypertensive nephropathy (or "hypertensive nephrosclerosis", or "Hypertensive renal disease") is a medical condition referring to damage to the kidney due to chronic high blood pressure.

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with kidney disease due to longstanding hypertension, 31% report having shortness of breath, 24% report having symptoms of the kidneys, and 3% report having difficulty speaking. The symptoms that are highly suggestive of kidney disease due to longstanding hypertension are symptoms of the kidneys, foot or toe cramps or spasms, polyuria, and stuttering or stammering, although you may still have kidney disease due to longstanding hypertension without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with kidney disease due to longstanding hypertension often receive hematologic tests, complete blood count, glucose measurement, urinalysis, electrolytes panel, electrocardiogram, hemoglobin a1c measurement and lipid panel .

Common Medications

The most commonly prescribed drugs for patients with kidney disease due to longstanding hypertension include furosemide, amlodipine, clonidine, carvedilol, allopurinol, labetalol, hydralazine, nifedipine, sevelamer (renvela), epoetin alfa (procrit), tacrolimus (prograf), mycophenolate mofetil (cellcept) and doxazosin .

Furosemide
$4
(28 days)
Amlodipine
$10
(28 days)
Clonidine
$23
(28 days)
Carvedilol
$16
(28 days)
Allopurinol
$4
(28 days)
Labetalol
$19
(28 days)
Hydralazine
$24
(28 days)
Nifedipine
$39
(28 days)
Sevelamer (Renvela)
$453
(28 days)
Epoetin Alfa (Procrit)
$804
(21 days)
Tacrolimus (Prograf)
$376
(28 days)
Mycophenolate Mofetil (Cellcept)
$263
(28 days)
Doxazosin
$8
(28 days)

Who is at risk?

Groups of people at highest risk for kidney disease due to longstanding hypertension include race/ethnicity = other, age 75+ years, age 60-74 years and race/ethnicity = black. On the other hand, age 1-4 years almost never get kidney disease due to longstanding hypertension.

Age

< 1 years
0.1x
1-4 years
0.0x
5-14 years
0.1x
15-29 years
0.1x
30-44 years
0.5x
45-59 years
1.4x
60-74 years
2.4x
75+ years
2.6x

Sex

Male
1.3x
Female
0.8x

Race/Ethnicity

Black
1.7x
Hispanic
1.1x
White
0.7x
Other
1.6x
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