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Pharmacology
a female patient of age 53yrs is known case of osteoahritis & diabetic using METFORMIN 500mg , sitagliptin , glimipride 1mg since 10years. patient was recently diagnosed with CKD due to vigrous nsaid usage , now regarding her management what is the next step ?
Stop sitagliptin and sta linagliptin
stop metaformin and change her to subcutaneous insulin
nsaids are stoped and opiods are used for ahritis pain
all of the above
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