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Do you recommend temporarily holding SGLT2 inhibitors in patients with CKD who are undergoing CT imaging with intravenous contrast?

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Do you recommend temporarily holding SGLT2 inhibitors in patients with CKD who are undergoing CT imaging with intravenous contrast?

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2 Answers
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Nephrology · University Of California San Francisco Medical Center At Parnassus
Answered on

Probably should hold the morning dose before giving contrast. The risk I would assume is very low, likely lower than giving lasix prior to the contrast which we normally do not hold.

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Nephrology · Penn Medicine Cherry Hill
Answered on

I think I would only recommend this for patients who I thought were at high risk for significant AKI after IV contrast.

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