25/08/2026
The “Sick Day Rule” Every Kidney Patient Should Know, Dr Zaraf Shah, consultant nephrologist at Preeti Kidney Hospital, KPHB
Remember the SADMAN sick day rules. Pause these medications until you can keep fluids down:
* S - SGLT2 inhibitors (diabetes/kidney meds ending in 'gliflozin')
* A - ACE inhibitors (meds ending in 'pril')
* D - Diuretics (water pills)
* M - Metformin
* A - ARBs (meds ending in 'sartan')
* N - NSAIDs (painkillers like Ibuprofen)"
For educational purposes, consult your nephrologist if unsure.
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