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Paul Simmons, MD and Neda Frayha, MD
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Stephen L., 7886654 -

I learned a useful pearl from the Curbsiders podcast for the question of what is a good starting dose for lasix for a diuretic naive CHF patient.
Dr. Joel Topf, a world renown nephrologist and professor at the Oakland University William Beaumont School of Medicine recommended that you can get your starting lasix dose by just multiplying the patient's creatinine times 20.

For example if the patient had a creatinine of 2 you would start with 20 mg of lasix BID.

See the link below. It is clinical pearl #13. Cheers!

https://thecurbsiders.com/medical-education/s2e9-diuretics-leg-cramps-resistant-hypertension-salt-whisperer

Neda F., MD -

Thanks so much, Stephen! Dr. Topf is always wonderful to listen to. That's a great pearl. -- Neda

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Primary Care RAP March 2020 Written Summary 1,010 KB - PDF

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