<s>[INST] Hi  I would request a Nephrologist to reply me.My brother age 38 has been suffering from chronic kidney disease stage V and is on dialysis for the last 20 months. Urea reaches to 200 and creatinine  about 9 with hypertension hardly manageable. Since his kidney transplantation is delayed due to shortage of funds, I would like to know about some medicine which can change urea in to a useful substance or at least in to less dangerous to health. Kndly help me. Sareer Khan [/INST] Hi and thanks for the query, I am afraid with a stage 5 kidney disease, seeking medical treatment would not do any good. It might be preferable to sacrifice and get the kidney transplant. I understand it's too demanding, but that's the best option under these circumstances. Saying for now there exists a Chat Doctor.  Kidney dialysis is a procedure however that helps as you wait to get the transplant done. Thanks and kind regards, Bain LE, MD. </s>