Not long ago, when someone was diagnosed with chronic kidney disease, our main aim was simply to slow the damage.

Medicines that protect the kidneys

Today, we have medicines that can significantly delay kidney failure, postpone dialysis, and protect the heart.

The foundation of kidney protection is still ACE inhibitors and ARBs. Medicines like ramipril, perindopril, enalapril (ACE inhibitors) and telmisartan, losartan, olmesartan (ARBs) not only lower blood pressure but also reduce protein leakage in the urine, helping protect the kidneys over the long term.

The next major breakthrough is a group of medicines called SGLT2 inhibitors, such as dapagliflozin and empagliflozin. These medicines protect the kidneys, reduce the risk of kidney failure, and also benefit the heart. They are now an important part of treatment for many patients with chronic kidney disease—even some people without diabetes.

Another exciting medicine is finerenone. In people with diabetes and chronic kidney disease, it provides additional kidney and heart protection, especially when protein is leaking into the urine despite standard treatment.

For people with diabetes and obesity, medicines like semaglutide can improve blood sugar, help with weight loss, and may provide additional kidney benefits.

SGLT2 inhibitors

But remember…

These medicines are powerful—but they are not suitable for everyone.

Finerenone

Your doctor will decide which medicines are right for you based on your kidney function, potassium levels, blood pressure, diabetes, and other medical conditions.

Semaglutide

And never forget…

Medicines work best when combined with healthy habits.

Who should take these medicines?

Control your blood pressure.

Control your blood sugar.

Eat less salt.

Healthy habits still matter

Exercise regularly.

Don’t smoke.

Get your kidneys checked every year if you’re at risk.

One message to remember:

Today, kidney disease is no longer a condition where we simply watch it progress.

With the right medicines started at the right time, we can often slow kidney disease dramatically and help people live longer, healthier lives.