Question

A 70-year-old with CKD stage 3b and albuminuria on ACE inhibitor asks about adding finerenone (nonsteroidal MRA). What do guidelines state?

Accepted Answer

Consider finerenone in T2D with albuminuria despite RAS blockade

Answer

Contraindicated in all CKD

Answer

Use before RAS blockade

Answer

Use only if ACR <30 mg/g

Answer

Replace SGLT2 inhibitor

Practice question

A 70-year-old with CKD stage 3b and albuminuria on ACE inhibitor asks about adding finerenone (nonsteroidal MRA). What do guidelines state?