01-31-2010, 08:03 PM
fs3, you are correct.
ACEI must be used whenever there are definite indications even if creatinine is very high. There is no cut off on the creatinine for starting ACEI.
However, ACEI must be stopped if ACEI induced renal failure occurs i.e; ACEI induced renal failure is suspected when change from baseline creatinine more than 0.5mg% if baseline is less than 2.0 or if change is greater than 1mg% if baseline is more than 2.0
ACEI must be used in ADPKD irrespective of baseline creatinine level as they reduce the progression of the disease..........VERY IMPORTANT.
ACEI must be used whenever there are definite indications even if creatinine is very high. There is no cut off on the creatinine for starting ACEI.
However, ACEI must be stopped if ACEI induced renal failure occurs i.e; ACEI induced renal failure is suspected when change from baseline creatinine more than 0.5mg% if baseline is less than 2.0 or if change is greater than 1mg% if baseline is more than 2.0
ACEI must be used in ADPKD irrespective of baseline creatinine level as they reduce the progression of the disease..........VERY IMPORTANT.