A 71-year-old woman with heart failure with reduced ejection fraction collects dapagliflozin 10 mg daily newly added by the specialist. She takes

Question

A 71-year-old woman with heart failure with reduced ejection fraction collects dapagliflozin 10 mg daily newly added by the specialist. She takes furosemide, ramipril and bisoprolol. BP is 100/62 mmHg and eGFR is 42 mL/min/1.73 m². What would you advise the patient?

Accepted Answer

Discuss sick-day guidance, genital infection symptoms and review if dizziness or dehydration occurs

Answer

Take dapagliflozin at double dose if breathlessness worsens

Answer

Use ketone testing after every dose regardless of symptoms

Answer

Stop furosemide immediately because dapagliflozin replaces diuretics

Answer

Avoid fluid intake because dapagliflozin causes fluid overload

SGLT2 inhibitor heart failure counselling — GPhC CRA MCQ

A 71-year-old woman with heart failure with reduced ejection fraction collects dapagliflozin 10 mg daily newly added by the specialist. She takes furosemide, ramipril and bisoprolol. BP is 100/62 mmHg and eGFR is 42 mL/min/1.73 m². What would you advise the patient?