What types of treatment, including medication, have you received for renal artery stenosis?
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What are medical treatments for renal artery stenosis?
In bilateral (both-sided) and unilateral (one-sided) renal artery stenosis associated with high blood pressure, controlling the blood pressure with usual blood pressure medications is the first and the safest treatment. ACE inhibitors or ARB medications with or without a diuretic (water pill) may be tried first. This approach may be associated in some patients with worsening of their kidney function. Therefore, kidney function needs to be followed closely and if worsening of kidney function is evident, these medications may need to be stopped.
It is worth noting that if renal artery stenosis is found incidentally when performing a test for another disease and there is no evidence of kidney dysfunction or high blood pressure, then no treatment may be necessary. Sometimes even significant stenosis may not be associated with high blood pressure or kidney dysfunction. In these situations, periodic monitoring of blood pressure and kidney function may be advised.