Conversation: The conversation between human and AI assistant.
[|Human|] I went to a Kidney doctor recently, had been going to one for about 5 years, but they seem to keep changing on me. This new Dr. said he wanted to lower my B.P. more, and they day I as in to see him it was a bit high 146/78 but no really that much out of line. He said he would like to see it 140/70 or less. The next day it was 131/68, and hadn t taken the prescription he recommended. However did take it a couple of days later, and my feet and ankles swelled and are still swelled, the Med was Amalodapine the dose I was on was .5 and he doubled it. I called him today, and he put me back on my regular dose, but added a new B.P. med called Spironolactone .25 mg. I have been on Lorsartin and Amalodapine for several years and it has been holding my B/P under control pretty well. Why would he want to be changing it...my thinking is if it s not broken, don t fix it, and my regular health care physician had put me on it. This is a new, young Dr. and it was my understanding that they no longer want your B/P to get to low, to you don t function well?? What is your opinion on this new med. He told me not to take my over the counter Potassium. Thanks, Betty
[|AI|]  Hello, Amlodipine may cause pedal edema in some individuals. So he reduced the dose. Spironolactone is a potassium sparing diuretic. It is used to reduce edema of legs. If renal function is not good means better to avoid losartan. Because it will increase serum creatinine levels. Don't worry continue as per nephrologist advice. Take care. Hope I have answered your question. Let me know if I can assist you further.