risk of acute kidney injury when adding an NSAID to a diuretic plus an ACEI or ARB

March 2013

You'll hear more about the risk of acute kidney injury when adding an NSAID to a diuretic plus an ACEI or ARB.

Combining all three agents creates a "triple whammy" to impair kidney function...and sometimes the kidneys can't compensate.

This is especially true in patients at risk due to age over 65, chronic kidney disease, or systolic heart failure.

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Table of Contents

Cardiology Does it ever make sense to COMBINE an ACEI with an ARB...or aliskiren (Tekturna) with an ACEI or ARB
Diabetes how patients with diabetes should manage drug therapy during sick days
Gastroenterology a new oral corticosteroid for mild to moderate ulcerative colitis called Uceris (u-SAIR-us)
ADHD how to manage stimulant side effects in kids and teens with ADHD
Contraceptives choosing an oral contraceptive (OC)
Ophthalmology if aspirin increases the risk of age-related macular degeneration (AMD)
Supplements questions about red palm oil, Dr. Oz's latest miracle food
Men's Health Some men are reporting LONG-TERM sexual problems after stopping finasteride (Propecia, Proscar, etc) or dutasteride (Avodart, etc)
Pertussis Women will get the pertussis vaccine during EVERY pregnancy
Ghost Tablets Patients may not believe their drug is working if they see "ghost" tablets in their stool
Respiratory & Allergy the new "talking" Auvi-Q (ah-vee-cue) epinephrine auto-injector for severe allergic reactions
Kidney Disease risk of acute kidney injury when adding an NSAID to a diuretic plus an ACEI or ARB