Treatment
- Salt restriction and diuretics, such as furosemide, for edema
- Antihypertensives (especially ACEIs) – if the blood pressure is too high
- treat present hyperlipidemia (e.g. statins, fibrates; although fibrates are contraindicated in renal failure)
- Aldosterone antagonist to decrease proteinuria and thus offer a degree of reno-protection
- Angiotensin II receptor antagonist
- ACE inhibitor
- Corticosteroids, such as prednisone – based on the clinical judgment of physician (no broad consensus/guideline)
- Cytotoxics, such as cyclophosphamide may be used to induce remission in patients presenting with FSGS refractory to corticosteroids, or in patients who do not tolerate steroids.
- Plasmapheresis – blood cleansing using a machine to remove the patient's blood plasma and replacing it with donor plasma.
- Vitamin E
- Fish oil
- Immunosuppressive drugs
- None – sometimes none of the above works and the patient will require dialysis with possibly later transplantation of a new kidney.
Read more about this topic: Focal Segmental Glomerulosclerosis
Famous quotes containing the word treatment:
“[17th-century] Puritans were the first modern parents. Like many of us, they looked on their treatment of children as a test of their own self-control. Their goal was not to simply to ensure the child’s duty to the family, but to help him or her make personal, individual commitments. They were the first authors to state that children must obey God rather than parents, in case of a clear conflict.”
—C. John Sommerville (20th century)
“Our treatment of both older people and children reflects the value we place on independence and autonomy. We do our best to make our children independent from birth. We leave them all alone in rooms with the lights out and tell them, “Go to sleep by yourselves.” And the old people we respect most are the ones who will fight for their independence, who would sooner starve to death than ask for help.”
—Margaret Mead (1901–1978)
“I feel that any form of so called psychotherapy is strongly contraindicated for addicts.... The question “Why did you start using narcotics in the first place?” should never be asked. It is quite as irrelevant to treatment as it would be to ask a malarial patient why he went to a malarial area.”
—William Burroughs (b. 1914)