Question

A 75-year-old man with CKD stage G3b and albuminuria A3 (ACR 550 mg/g) on maximized ACE inhibitor asks about next kidney-protective drug class. Which is recommended?

Accepted Answer

Add SGLT2 inhibitor if eGFR ≥20 mL/min/1.73 m²

Answer

Add a thiazide diuretic for renal protection

Answer

Switch ACE inhibitor to DPP-4 inhibitor

Answer

No additional therapy shown to help

Answer

Use dual ACE inhibitor plus ARB

Practice question

A 75-year-old man with CKD stage G3b and albuminuria A3 (ACR 550 mg/g) on maximized ACE inhibitor asks about next kidney-protective drug class. Which is recommended?