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Pooled analysis of multiple crossover trials to optimize individual therapy response to renin-angiotensin-aldosterone system intervention

Clinical Journal of the American Society of Nephrology Evidence based | Oct 17, 2017

Petrykiv SI, et al. - This study investigated if uptitrating the dose of drug, changing the mode of intervention (with drugs from similar or different classes), or lowering dietary sodium intake, therapy resistance to renin-angiotensin-aldosterone system inhibitors (RAASi) can be overcome. For this purpose, researchers meta-analyzed individual responses to different modes of interventions. Findings demonstrated that those who exhibited a poor response to one dose or type of RAASi also responded poorly to higher doses, other types of RAASi or nonsteroidal anti-inflammatory drugs (NSAIDs), or a reduction in dietary salt intake.
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