Expect a Serum Creatinine Bump When Starting an ACEI or ARB in Kidney Disease

June 2014

Questions often come up about how to safely use ACEIs or ARBs in patients with chronic kidney disease.

We know these meds slow the progression of kidney disease.

But blocking angiotensin can reduce kidney filtration...and sometimes lead to a bump in serum creatinine (SCr) and potassium.

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Table of Contents

Cardiology Expect a Serum Creatinine Bump When Starting an ACEI or ARB in Kidney Disease
Antithrombotics Stick With Low-Molecular-Weight Heparin After Hip or Knee Replacement
Migraine Emphasize Lifestyle Changes to Prevent Migraines in Kids and Teens
Diabetes Consider Adding Insulin if Patients Are Already on 3 Diabetes Meds
Women s Health Avoid Paroxetine During Early Pregnancy
Women s Health Don't Always Advise Backup When Oral Contraceptive Doses Are Missed
Neurology Pain Avoid Opioids for Fibromyalgia and Headaches
Med Safety Don't Recommend Pillboxes With Certain Meds
Respiratory Allergy Consider Sublingual Immunotherapy When Allergy Meds Aren't Enough
Infectious Diseases Consider EYE Drops for Some Patients With Swimmer's Ear
E-Cigarettes Point Out Unique Risks of E-Cigarettes
Delirium Save Antipsychotics for Severe Delirium