risk of renal impairment in patients taking an ACE inhibitor or ARB, diuretic, and NSAID

  Experts are reminding us of the risk of renal impairment in patients taking an ACE inhibitor or ARB, diuretic, and NSAID.

  Combining any two of these drugs can lead to acute renal failure in susceptible patients. Combining all three is a "triple whammy."

  These are patients who already have impaired renal function... or those at risk due to older age, heart failure, dehydration, etc.

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