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Whalatane

03/21/24 6:57 PM

#17375 RE: moosedogger #17374

What is the evidence it should be SOC ( standard of care ) ?
Prescribing PDF limits it use ...read the PDF .
Its a huge risk for the prescriber to prescribe this drug outside of the parameters ..including the monitoring requirements ,,,set forth in the PDF .
They won't do it .
Chk risk of hyperkalemia ...thats how many CKD patients die ...it sets of wild heart arrhythmias


EG
Hyperkalemia: Risk may be increased with other agents associated
with hyperkalemia; monitor serum potassium levels. (5.6)
• QT Prolongation: Consider obtaining electrocardiograms and
monitoring electrolytes in patients at high risk. (5.7)



The time consuming steps a prescriber has to comply with . If patient has an adverse event and files a claim ...first thing the lawyers will ask for is ECG records , records of monitoring electrolytes , serum K levels etc ...its a paper work / time consuming drug to prescribe
Kiwi