TITRATION

TITRATION

Serum creatinine rise > 30%

Watch for trends

Consider other factors affecting renal function:

  • Additive nephrotoxic agent:
    • - NSAID, COX-2 inh, ACEI / ARB combo, etc.
  • Worsening HF
  • Other co-morbidities:
    • - CKD, DM, acute illness
  • Dehydration (diarrhea, vomiting, over diuresis)
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