OBJECTIVES: The burden of chronic kidney disease (CKD) has increased globally and there is rapid increase of CKD in geriatric patients. CKD in geriatric patients is associated with increased comorbidity, mortality and diminished quality of life. The aim of present study is to understand the clinical profile and management of CKD in Indian geriatric patients. METHODS: This cross sectional study was conducted using data obtained from 150 elderly CKD patients (>60 years) at a tertiary care hospital for a period of one year. The patients were categorized into five stages of CKD . Drug use was assessed by WHO prescribing indicators. Drugs used for the treatment were classified on the basis of Anatomic Therapeutic Chemical classification. Results were represented using mean with standard deviation and percentages. IBM SPSS Statistics was used for analysis. RESULTS: Hypertension was found most commonly occurring comorbidity (59%). Of all, 30% and 15% of the patients were over weight and obese, respectively. The average systolic and diastolic BP was 145.7±0.6mmHg and 82.0±0.8mmHg, respectively. The average Hb1Ac was 7.2±0.2. Of all, 52% were found to be anemic. Only 11% of the patients were found to be on hemodialysis. The average number of diagnosis and drug prescribed was found to be 2.6±1.4 and 7.8±3.2, respectively. The number of drugs prescribed from National List of Essential Medicine 2011 (NLEM) was 78%. All the drugs were prescribed by trade name. Parenteral prescriptions were 11%. Drugs for musculo-skeletal system were highest, 27%. 90% of the total patients were prescribed with calcium, iron and vitamin D. Average number of antihypertensives  was 1.8±1.2. Calcium channel blockers (28%) were most commonly prescribed. CONCLUSIONS: Hypertension was found to be most commonly occurring comorbidity along with CKD. Almost half of the patients were found anemic and overweight. Adherence to NLEM was high as more than three fourth of the medicines were prescribed from NLEM.