July 2012 
Volume 42  Number 7
Pages 9 - 9
  PDF Version Available!

The FDA has issued new warnings about the risks associated with antihypertensive agents containing aliskiren (a renin inhibitor) when given with angiotensin-converting enzyme inhibitors (ACEIs) and angiotensin receptor blockers (ARBs). These combinations are contraindicated in patients with diabetes because of the risk of renal impairment, hypotension, and hyperkalemia. In addition, the labeling contains a warning to avoid combining aliskiren with ACEIs or ARBs in patients with renal impairment (glomerular filtration rate < 60 mL/min.).Tell patients taking aliskiren that they shouldn't stop taking the drug without talking to their healthcare provider. Warn them that suddenly stopping the drug may cause hypertension.Source: FDA Drug Safety Communication: New Warning and Contraindication for blood pressure medicines containing aliskiren (Tekuturna). http://www.fda.gov/Drugs/DrugSafety/ucm300889.htm .The FDA recently approved levofloxacin to treat patients with plague, a rare but potentially

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