Exploring Treatment Options:
The decision to prescribe a medication is the responsibility of your physician/primary care provider based on his/her evaluation of your condition. The below is meant for informational purposes only. Discuss this information and all information about drugs/medications with your physician before starting OR stopping any medication.
Goals of treatment:
Short term
- Stop protein in urine (“repair” glomeruli)
- Normalize clinical symptoms (swelling, tiredness) and blood changes (plasma proteins, high cholesterol)
Long term
- Prevent recurrences of protein in urine
- Prevent deterioration of kidney function
Treatment Information – find answers to frequently asked questions about the following:
- Prednisone
- Acthar
- Rituximab (rituxan)
- Cyclophosphamide (Cytoxan)
- Mycophenalate Mofetil (CellCept, Myfortic)
- ACE Inhibitors
- Angiotensin II Receptor Blockers (ARBs)
- Cyclosporine
- Tacrolimus (Prograf)
- Sirolimus (Rapamune)
- Liposorber LA-15®
The decision to change or stop current medication is usually based on the following:
- Complete remission – partial remission: proteinuria less than 3.5g
- Permanent
- Temporary
- Recurrence (relapse)
- Steroid-sensitive: patient experiences reduced protein loss in urine
- Steroid-dependent: patient experiences reduced protein loss in urine, but cannot go off the medication without relapsing
- No response
- Trial of other medications will begin
- Kidney function deterioration
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