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Sacubitril-valsartan combination increases endogenous nps so diuresis will increase. This means we are increasing load on kidneys. Then why should we prescribe vymada in heart failure patients who also have kidney diseases?
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Hello lybrate-user. It should not be prescribed. As it will increase more problems. If kidneys are already malfunctioning. Homoeopathic treatment is better which improves kidney and heart health first.
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