Right kidney atrophy and high blood pressure, want to have children

  Patient: Description (onset time, main symptoms, hospital, etc.): 18 years old found to have high blood pressure, when the high pressure 180 low pressure 120, nose bleeding, urinary routine 2 plus, after a period of treatment, protein is no longer in the 301 hospital to do renal ultrasound left kidney normal, right kidney atrophy, adrenal gland normal, normal kidney function, do renal chart left kidney glomerular filtration for 61.85ml/min, right kidney 13.86ml/min. min, the right kidney is 13.86ml/min, eat baixin Tong plus ah rololol hydrochloride, now blood pressure can be lowered to 120/90. I want to consult I now eat baixin Tong blood pressure can be controlled to high pressure 120, low pressure in the morning amount of 90, a little higher during the day, can rise to 100, and at night will be lowered to 90, I want children can always eat baixin Tong this antagonist? But the nephrologist said that Albuterol should not be used in pregnant women. Is it possible to have a baby in this situation? I can lower my blood pressure to 80 for low pressure and 100-110 for high pressure by taking one tablet of Bexinol plus half a tablet of Aloprolol Hydrochloride. If I get pregnant once I’m in the whole pregnancy, can I combine the medication, can I use Bexinol plus half a tablet of labetalol? I reckon it should be able to come down because Almare and labetalol are both alpha beta blockers, their blood pressure lowering principle is the same, because the system only allows you to reply to me twice, you are too annoyed with me, I am also eager to have children, and afraid of the risks, thank you!  Yang Wen, Department of Obstetrics and Gynecology, Beijing 301 Hospital: The antihypertensive drug that can clearly be used for gestational hypertension is labetalol, but Bexin Tong is also useful for pregnant women. There is no direct relationship between hypertension and the fact that you only take Bexinol. Hypertension does not necessarily lead to hyperemesis after pregnancy, but in your case, the risk is higher. If you want to have children you can try labetalol first to see how effective it is in lowering your blood pressure.  Labetalol is liothyronine. The drug description of Aroclor clearly states that it is prohibited for pregnant women, (even though it is in the same class as labetalol) and the instructions for labetalol directly state the indications for treating hypertension during pregnancy, so your doctor will definitely recommend you to use labetalol instead of Aro from the safety point of view.  In the instruction manual of Aroclor, the reproductive toxicity is stated as follows: Pre-pregnancy and early gestation test: No effect on the reproductive function of Wister rats (male and female), no lethal and teratogenic effect on embryos and pups, no effect on fetal development and organ formation. Organogenesis: In Wister rats, renal pelvis enlargement was observed at doses above 100 mg/kg (approximately 250 times the clinical dose), and the natural frequency of optic nerve defects increased at 250 mg/kg (approximately 600 times the clinical dose), but no effect was observed in mice and rabbits.  In addition, Bison has an FDA pregnancy classification of C: animal studies have demonstrated fetal risk (teratogenicity or embryonic death, etc.), or there are no studies in pregnant women with controls, or no studies in pregnant women or animals have been conducted. This class of drugs should be used only after weighing the benefits to the pregnant woman against the risks to the fetus.