Medication Management is a core element of nephrology care ensuring that every medicine is carefully chosen, dosed, and monitored for patients with kidney disorders or undergoing treatments like dialysis or transplant. Dr Vishal Golay, Kidney Doctor in Siliguri, provides thorough medication reviews for safety and effectiveness.

Key Principles:
  • Review & Reconcile: Comprehensive medication history including prescriptions, over-the-counter drugs, and supplements.
  • Dose Adjustment: Kidney impairment affects drug metabolism; doses are modified according to kidney function (GFR).
  • Monitor for Risks: Some drugs are harmful to kidneys or build up to toxic levels. Avoid nephrotoxic drugs or use them with special precautions.
  • Deprescribing: Unnecessary or harmful drugs are stopped carefully, one at a time, after discussion with the patient.
  • Education: Patients are educated about the purpose and possible side effects of each medication, emphasizing adherence.
Best Practices:
  • Regular review of medication lists.
  • Collaboration with pharmacists and other members of the healthcare team.
  • Timely adjustments during acute illness or changing kidney status.