Monitor With Drug Angiotensin Converting Enzyme Inhibitor

From Anvita Health Wiki

Contents 1 Monitor 2 Management 3 More General Terms 4 References

Monitor

• initial

• serum K+ & serum creatinine within 1-2 weeks of initiation (within 1 week in the elderly) & after dose increases, then again in 3-4 weeks
• in low risk patients with serum creatinine of <= 4.5 mmol/L, can wait 3-5 weeks prior to intial assessment

• maintenance

• serum creatinine, serum urea nitrogen & serum electrolytes every 6 months
• if serum creatinine increases, check again in 2-3 weeks & again in 3-4 weeks

Management

• discontinue if serum K+ > 5.5 mmol/L
• discontiune if serum creatinine increases > 30 % within 1st 2 months despite dose reduction

More General Terms

• monitor with drug

References

1. Anvita Health guideline :id 1336
2. Prescriber's Letter 17(7): 2010 Recommended Lab Monitoring for Common Medications Detail-Document#: [1] (subscription needed) [2]

monitor with ACE inhibitors