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Whilst there is no formal contraindication preventing concurrent use, the combination requires careful consideration
2 mg subcutaneously once daily, dosed at bedtime, for a 12 to 26 week cycle
Specifically, the guideline recommends the following: The 2024 KDIGO clinical practice guideline for chronic kidney disease also further supports a cautious approach, including a specific practice point recommending the planned discontinuation of ACE inhibitors and ARBs (and sodium-glucose cotransporter 2 inhibitors) before elective surgery