Many patients with renal insufficiency SHOULD be getting an ACE inhibitor

Many patients with renal insufficiency SHOULD be getting an ACE inhibitor...but they're not.

Physicians usually avoid giving ACE inhibitors to patients with a serum creatinine greater than 2 to 3 mg/dL...due to concerns that ACE inhibitors will worsen renal function.

ACE inhibitors often INCREASE serum creatinine in patients with renal insufficiency...but these are the patients who seem to benefit the most from the ACE inhibitors' protective effects.

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