A 68-year-old with Stage 3 CKD and albuminuria on ACE inhibitor develops mild rise in creatinine after starting SGLT2 inhibitor. Management?...

Question

A 68-year-old with Stage 3 CKD and albuminuria on ACE inhibitor develops mild rise in creatinine after starting SGLT2 inhibitor. Management?

Accepted Answer

Continue SGLT2 inhibitor; a small initial eGFR dip is expected

Answer

Stop SGLT2 inhibitor immediately

Answer

Switch to DPP-4 inhibitor

Answer

Double the ACE inhibitor dose now

Answer

Start NSAID for proteinuria

us-abim MCQ (SBA): SGLT2 Initiation in CKD