The therapeutic drugs for chronic kidney disease stage IV are mainly related to the clinical symptoms, and can use ACEI or ARB drugs to reduce urinary protein, EPO (erythropoietin) or iron to improve anemia, and diuretics to improve edema and so on.
1. ACEI or ARB class: If the patient persistent urinary protein appears, ACEI such as captopril, benazepril or ARB class such as chlorosartan drugs can be used to reduce urinary protein. However, when the blood creatinine is higher than 265 μmoI/L and the blood potassium is higher than 5.5 mmoI/L, the use of ACEI drugs is prohibited.
2. EPO or iron: chronic kidney disease stage IV may appear renal anemia symptoms, can use EPO (erythropoietin), iron supplements (heme iron), folic acid and so on.
3. Diuretics: When patients’ kidney function decreases and edema occurs due to sodium retention, diuretics such as furosemide can be chosen to improve the symptoms of edema.
There are other optional drugs for chronic kidney disease stage 4, patients are advised to go to the hospital in time for consultation, active treatment and regular review to avoid the progress of the disease. The treatment of the above drugs should be used under the guidance of a doctor.