Conversation: The conversation between human and AI assistant.
[|Human|] I have been under treatment for hypertension for the last 10 years. In October, 2013 the medicines changed and I was prescribed Eritel 40 CH in the morning and Selomax 50/5 in the evening. On testing, my creatinine level increased to 1.9. I Consulted my Doctor. He cancelled Eritel CH 40 and prescribed Selomax 50/5 in the morning. Then I was referredto Nephrology department. The Doctoro in Nephrology prescribed Dytor 10 in additioin to Selomax 50/5. I have been checking the creatinine level. It stays between 1.5 to 1.7 till date. Kindly advise the medicatioin is correct and whether the kidney function is normal. In October, 2013 Ultra Sound Scan of abdomen was also done, the result of which shows the kidneys as normal.
[|AI|]  Dear sir/madam, long-standing uncontrolled hypertension can lead to microvascular changes in blood vessels supplying kidney and damage the filtering structures of kidney leading to protein leakage and fluctuation in kidney functioning which in turn affects creatinine level. Ideally blood pressure should be adequately controlled. Salt should be restricted in diet.  Chat Doctor.  Diuretics (actor) should be cautiously used along with monitoring creatinine. Yes actor helps in reducing BP but in turn can worsen renal function. So monitor creatinine when on diuretics. Selma is good