Question

A 58-year-old with chronic kidney disease stage G3a (eGFR 52 mL/min/1.73 m²) and albuminuria (UACR 320 mg/g) has hypertension controlled on amlodipine. What kidney-protective therapy should be added?

Accepted Answer

Add an ACE inhibitor or ARB and titrate to maximally tolerated dose

Answer

Start a loop diuretic

Answer

Add a mineralocorticoid receptor antagonist

Answer

Add a thiazide diuretic

Answer

No additional therapy is indicated

Practice question

A 58-year-old with chronic kidney disease stage G3a (eGFR 52 mL/min/1.73 m²) and albuminuria (UACR 320 mg/g) has hypertension controlled on amlodipine. What kidney-protective therapy should be added?