What medicine should you take if you have high protein in your urine?
High urinary protein is one of the common manifestations of kidney disease, which may be caused by a variety of reasons, such as nephritis, diabetic nephropathy, hypertensive nephropathy, etc. For the treatment of high proteinuria, appropriate drugs need to be selected based on the cause and individual circumstances. The following is a collection of related topics and hot content that have been hotly discussed across the Internet in the past 10 days for reference.
1. Common causes of high urinary protein
| Reason | Description |
|---|---|
| Nephritis | Including chronic nephritis, IgA nephropathy, etc., inflammation causes damage to the glomerular filtration membrane. |
| diabetic nephropathy | Long-term hyperglycemia damages renal microvessels, leading to proteinuria. |
| Hypertensive nephropathy | Hypertension leads to glomerulosclerosis and proteinuria. |
| Others | Such as systemic lupus erythematosus, multiple myeloma, etc. |
2. Commonly used drugs for high urinary protein
| drug type | Representative medicine | Mechanism of action |
|---|---|---|
| ACEI/ARB class | benazepril, valsartan | Reduce intraglomerular pressure and reduce proteinuria. |
| Glucocorticoids | Prednisone, methylprednisolone | Inhibit immune inflammatory response and reduce glomerular damage. |
| immunosuppressants | cyclophosphamide, tacrolimus | For proteinuria associated with autoimmune diseases. |
| SGLT2 inhibitors | Dapagliflozin, Empagliflozin | Reduce proteinuria while lowering blood sugar. |
3. Topics related to high urinary protein that have been hotly discussed on the Internet in the past 10 days
| topic | heat index | Main content |
|---|---|---|
| Effect of dapagliflozin on diabetic nephropathy | ★★★★★ | Studies have shown that dapagliflozin can significantly reduce proteinuria and delay the progression of kidney disease. |
| Controversy over traditional Chinese medicine for treating high proteinuria | ★★★★ | Some traditional Chinese medicines (such as Huangkui capsules) have been mentioned, but their efficacy lacks large-scale clinical verification. |
| Discussion of low protein diet | ★★★ | Experts recommend moderate protein intake, but avoid malnutrition. |
4. Daily precautions for patients with high proteinuria
1.Regular monitoring: It is recommended to check urine routine, renal function and other indicators every 3-6 months.
2.Control underlying diseases: Patients with diabetes and hypertension need to strictly manage blood sugar and blood pressure.
3.Avoid nephrotoxic drugs: Such as non-steroidal anti-inflammatory drugs, some antibiotics, etc.
4.Eat properly: Low-salt, low-fat, moderate amount of high-quality protein diet.
5. Summary
Drug treatment for high urinary protein needs to be individualized. ACEI/ARB drugs are the basic choice. Other drugs such as glucocorticoids or immunosuppressants need to be used under the guidance of a doctor. The recently hotly discussed new drugs such as dapagliflozin provide new options for patients with diabetic nephropathy. Patients should combine lifestyle adjustments and standardized treatment to protect kidney function.
(Note: The content of this article is for reference only. Please follow your doctor’s advice for specific medication.)
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