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
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