I have cretinine level 1.50 from last 2yrs and uric acid 9.0... I m taking medicine like telmasaltin and allopurinol 100mg daily basis.. but my cretinine level and uric acid doesn't decreases...

Professional Assessment: The persistently elevated creatinine (1.50) and uric acid (9.0) levels despite medication suggest possible chronic kidney disease (CKD) with concurrent hyperuricemia, which is concerning for a 31-year-old male and warrants comprehensive evaluation. The combination of findings raises concern for underlying glomerular dysfunction, with possible contributing factors including uncontrolled hypertension (given Telmisartan use), metabolic syndrome, or an underlying autoimmune condition affecting kidney function. Given the patient's young age and persistent abnormal values, additional workup is strongly indicated, including complete renal function panel, 24-hour urine collection, renal ultrasound, and screening for autoimmune markers to identify the underlying etiology and prevent further progression. The current Allopurinol dose (100mg) may need adjustment, and nephrology consultation would be appropriate to optimize the treatment strategy and evaluate for potential need for renal biopsy, particularly given the early age of presentation and persistent laboratory abnormalities.

To address elevated creatinine and uric acid levels, increase Allopurinol dosage to 200-300mg daily (under proper monitoring) and add Febuxostat 40mg daily to better control uric acid levels. Implement a strict low-purine diet by avoiding red meat, organ meats, and high-fructose foods, while increasing water intake to at least 3 liters daily to help flush out excess uric acid and support kidney function. Consider adding a potassium citrate supplement to help alkalize urine and prevent crystal formation, along with incorporating tart cherry extract as a natural uric acid reducer. For additional treatment recommendations, ask in the chat.