Question

A 72-year-old woman with NSTEMI and CKD asks if metformin must be stopped permanently due to contrast exposure. eGFR 58. What should you advise?

Accepted Answer

Hold metformin only around contrast if eGFR <30-45 or risk of AKI; permanent cessation is unnecessary here

Answer

Stop metformin permanently

Answer

Continue metformin without any consideration

Answer

Switch to glyburide

Answer

Metformin causes lactic acidosis at any eGFR

Practice question

A 72-year-old woman with NSTEMI and CKD asks if metformin must be stopped permanently due to contrast exposure. eGFR 58. What should you advise?