Question

A 59-year-old with CKD G3b and albuminuria UACR 420 mg/g (A3) on maximized lifestyle therapy has BP 138/82 mm Hg. Which medication strategy slows CKD progression?

Accepted Answer

Start and uptitrate an ACE inhibitor to maximal tolerated dose

Answer

Start an SGLT2 inhibitor only, no RAAS blockade

Answer

Add a thiazide diuretic primarily for albuminuria reduction

Answer

Switch to dual ACE inhibitor + ARB therapy

Answer

Use NSAIDs for pain as they do not affect CKD progression

Practice question

A 59-year-old with CKD G3b and albuminuria UACR 420 mg/g (A3) on maximized lifestyle therapy has BP 138/82 mm Hg. Which medication strategy slows CKD progression?