Question

A 62-year-old with CKD G3a A2 is started on an SGLT2 inhibitor. eGFR later declines to 18 mL/min/1.73 m² but drug is tolerated. What should be done?

Accepted Answer

Continue SGLT2 inhibitor if tolerated

Answer

Stop SGLT2 inhibitor immediately at eGFR <20

Answer

Switch to DPP-4 inhibitor

Answer

Start NSAID for proteinuria

Answer

Start dual RAAS blockade

Practice question

A 62-year-old with CKD G3a A2 is started on an SGLT2 inhibitor. eGFR later declines to 18 mL/min/1.73 m² but drug is tolerated. What should be done?