subclinical fluid overload in CKD stage 3-4 chronic kidney disease, fluid overload, furosemide, chlorthalidone
Conditions
Interventions
25 mg of chlorthalidone + 40 mg of furosemide one time per day
duration: 1 week then evaluate for safety and efficacy
complete follow up at 4 weeks,40 mg of furosemide x 2 tablets
duration: 1 week the
Active Comparator Drug,Active Comparator Drug
25 mg of chlorthalidone + 40 mg of furosemide,40 mg of furosemide x 2 tablets
Sponsors
Phramongkulklao hospital
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. CKD stage 3-4 2. volume overload by BCM > 1.1 liter
Exclusion criteria
Exclusion criteria: 1. recent heart failure with in 1 month 2. recent hospitalization within 1 month 3. pregnancy 4. recent kidney injury with in 1 month 5. cirrhosis child B-C 6. life expectancy < 6 months 7. allergy to sulfa
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| change in overhydration status at first week body composition monitoring (overhydration status in liter) | — |
Secondary
| Measure | Time frame |
|---|---|
| change in overhydration status fourth week body composition monitoring (overhydration status in liter),change in Na, K, HCO3, NTpBNP first and fourth week blood chemistry test,change in UACR first and fourth week urine analysis | — |
Countries
Thailand
Contacts
Public ContactKOMCHAN UTAMAWATIN
PHRAMONGKUTKLAO HOSPITAL
Outcome results
None listed