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. 2021 Jun 22;9(3):115. doi: 10.3390/pharmacy9030115

Table A2.

Distribution of potentially inappropriate medications (PIMs) related to kidney failure depending on frailty.

Nonfrail Patients
(FRIED Score: 0 to 2)
n = 22
Frail Patients
(FRIED Score: 3 to 5)
n = 44
Total
Number of patients for whom all treatments are adjusted to kidney function 8 (36.4%) 25 (56.8%) 33 (50%)
Number of patients with at least 1 PIMs related to renal failure 8 a (36.4%) 13 b (29.5%) 21 (31.8%)
Metformin 6 (27.3%) 12 (27.3%) 18 (27.3%)
Sitagliptin 3 (13.6%) 5 (11.4%) 8 (12.1%)
Acarbose 1 (4.5%) 0 (0%) 1 (1.5%)

a 2 Nonfrail patients with 2 PIMs (overuse of metformin and sitagliptin); b 4 frail patients with 2 PIMs (overuse of metformin and sitagliptin). Dosage adjustments for patients with kidney failure (according to the Summaries of Product Characteristics available in 2016): Metformin: 1500 mg maximum per day if creatinine clearance is between 30 and 60 mL/min; contraindicated if creatinine clearance is <30 mL/ min). Sitagliptin: 50 mg maximum per day if creatinine clearance is between 30 and 50 mL/min; 25 mg maximum per day if creatinine clearance is <30 mL/ min). Acarbose: contraindicated if creatinine clearance is < 25 mL/min.