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A patient is started on ramipril for hypertension. After two weeks, blood tests show a rise in serum creatinine of 35% from baseline. What is the most appropriate action?

This is expected; continue ramipril and recheck in 3 months Stop ramipril immediately and investigate for renal artery stenosis Reduce the dose by half and recheck in 2 weeks Add a calcium channel blocker to protect the kidneys

Correct Answer:

Stop ramipril immediately and investigate for renal artery stenosis

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