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October 2024: Finerenone reclassified to amber (specialist only)
Finerenone 10mg and 20mg tablets have been reclassified to amber (specialist input) in the Devon Formulary for use in stage 3 and 4 chronic kidney disease (with an albumin to creatinine ratio that is persistently 3mg/mmol or more and eGFR of 25ml/min/1.73m2 or more) associated with type 2 diabetes in line with NICE TA877.
Finerenone is only recommended as an add-on to optimised standard care; this should include, unless they are unsuitable, the highest tolerated licensed doses of:
angiotensin-converting enzyme (ACE) inhibitors or angiotensin-receptor blockers (ARBs) and