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Kerendia Finerenone
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What is Kerendia?

Kerendia (finerenone) is a prescription medication used to lower the risk of serious kidney and heart problems in adults with chronic kidney disease (CKD) linked to type 2 diabetes (T2D).

It helps reduce the chance of worsening kidney function, end-stage kidney disease (when kidneys stop working completely), heart-related deaths, heart attacks, and hospital visits for heart failure.

Kerendia is a tablet that contains the drug finerenone and is part of a class of medicines called nonsteroidal mineralocorticoid receptor antagonists (MRAs).

This works by blocking certain hormone effects that can harm the kidneys and heart. Kerendia was approved by the FDA in 2021.

It is not suitable for people taking strong CYP3A4 inhibitors (medicines that affect how other drugs are processed in the body) or those with adrenal insufficiency (a condition where the adrenal glands don’t produce enough hormones).

How Does Kerendia Work?

Kerendia works by blocking a specific receptor called the mineralocorticoid receptor (MR) that can become overactive in the kidneys, heart, and blood vessels.

When this receptor is overactive, it can cause problems like fibrosis (a buildup of scar tissue) and inflammation, which can harm these organs. Kerendia’s active ingredient, finerenone, stops this overactivity, helping to protect the kidneys and heart from damage.

Unlike some other medications for diabetes or high blood pressure, Kerendia specifically targets this receptor to reduce these risks.

Dosage Information and Usage

Dosage Form and Strengths of Kerendia

Kerendia is available in tablet form.

  • 10 mg tablet: Pink, with “FI” on one side and “10” on the other.
  • 20 mg tablet: Yellow, with “FI” on one side and “20” on the other.

Usage

Before starting Kerendia, your doctor will check your potassium levels and kidney function.

The starting dose of Kerendia depends on your kidney function:

  • If your kidney function is good (eGFR ? 60), you will take 20 mg once a day;
  • If your kidney function is moderate (eGFR 25-59), you will take 10 mg once a day.
  • If your kidney function is low (eGFR < 25), Kerendia is not recommended

If you have difficulty swallowing the tablet, you can crush it and mix it with water or soft food like applesauce just before taking it. Your doctor will monitor your potassium levels and may adjust your dose based on these results.

If you miss a dose, take it as soon as you remember on the same day. If you miss it for the day, skip the dose and continue with your next dose as scheduled.

Side Effects

Common Side Effects

  • Low blood pressure
  • Low sodium levels in the blood
  • High potassium levels in the blood (hyperkalemia)
  • Dizziness or feeling faint

Serious but Rare Side Effects

  • High potassium levels in the blood
  • Allergic reactions, including rash, itching, or swelling

If you experience any serious side effects, contact your doctor immediately or call emergency services if necessary.

Warnings and Precautions

  • Hyperkalemia: Kerendia can cause high potassium levels in the blood. This risk increases if you have poor kidney function or already high potassium levels. Your doctor will check your potassium levels and kidney function before starting Kerendia and may adjust the dose based on these results. Frequent monitoring might be needed for those at higher risk.
  • Pregnancy: There is limited information on the safety of Kerendia during pregnancy. The general risk of birth defects and miscarriage in pregnancies is 2-4% and 15-20%, respectively.
  • Lactation: There is no data on whether Kerendia passes into human breast milk or its effects on a breastfeeding baby. It’s best to avoid breastfeeding during treatment and for 1 day after stopping Kerendia.
  • Pediatric Use: Kerendia has not been tested for safety and effectiveness in children under 18.
  • Geriatric Use: Kerendia is used in older adults without needing dose adjustments. Studies show similar safety and effectiveness in patients aged 65 and older compared to younger adults.
  • Hepatic Impairment: Do not use Kerendia if you have severe liver problems. For mild or moderate liver issues, no dose adjustment is needed, but your potassium levels should be monitored closely.

Overdosage of Kerendia

If you believe you’ve taken too much Kerendia, stop or reduce the dose immediately. An overdose can lead to high blood potassium levels (hyperkalemia).

If hyperkalemia happens, standard medical treatments should be used. Since finerenone in Kerendia mostly binds to blood proteins, dialysis isn’t effective for removal.

Seek medical help right away if an overdose is suspected.

Drug Interactions With Other Medications

  • Strong CYP3A4 Inhibitors: Using Kerendia with strong CYP3A4 inhibitors, such as certain antifungal drugs or HIV medications, can increase the level of finerenone in your blood, raising the risk of side effects. It is advised to avoid combining Kerendia with these inhibitors and to steer clear of grapefruit or grapefruit juice.
  • Moderate and Weak CYP3A4 Inhibitors: When Kerendia is taken with moderate or weak CYP3A4 inhibitors, like some antibiotics or blood pressure drugs, it may also elevate finerenone levels and the associated risk of side effects. Regular monitoring of potassium levels and possible dose adjustments may be required.
  • Strong and Moderate CYP3A4 Inducers: Combining Kerendia with strong or moderate CYP3A4 inducers, such as certain medications used for seizures, can decrease the effectiveness of Kerendia by lowering finerenone levels. It is best to avoid using Kerendia with these inducers.
  • Drugs That Affect Serum Potassium: If you are taking other drugs or supplements that increase potassium levels, more frequent monitoring of your potassium levels is necessary to prevent complications.

Alternative Medications

Here are the following alternative medications for Kerendia:

Cost & Coupons

Pharma Giant believes that getting the right medicine should not be expensive. We are committed to making healthcare affordable and accessible to everyone.

We offer Kerendia at competitive prices:

Kerendia (Finerenone)

Strength Quantity Price
10 mg 90 tablets $449.00
180 tablets $880.00
270 tablets $1,290.00
20 mg 90 tablets $449.00
180 tablets $880.00
270 tablets $1,290.00

At Pharma Giant, we make sure you can prioritize your health within the budget.

Special Discount Code and Offer

Pharma Giant is here to help you reduce your medication costs with our exclusive discount offer.

Simply use the code PGSAVE10 at checkout to enjoy a 10% discount on your Kerendia purchase.

Take advantage of this fantastic deal—remember, it’s valid for one-time use per customer.

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Savings on Bulk Purchases

Pharma Giant provides discounts on bulk purchases to help lower your costs and make sure you get the medication you need without financial stress.

Assurance of Quality and Timely Delivery

At Pharma Giant, we are committed to delivering high-quality medications directly to your doorstep.

Our express shipping guarantees delivery within 3-5 business days across the entire United States. To ensure the safety and integrity of your medication, all orders are shipped in secure, tamper-proof containers.

Frequently Asked Questions

Kerendia is used to reduce the risk of complications in adults with chronic kidney disease (CKD) related to type 2 diabetes. It helps lower the chances of kidney function decline, end-stage kidney disease, cardiovascular death, heart attacks, and hospitalizations for heart failure.
Kerendia works by blocking specific receptors in the kidneys, heart, and blood vessels. This helps reduce inflammation and fibrosis (scarring) that can worsen kidney disease and related complications.
The risk of hyperkalemia, or high potassium levels, is increased in patients with reduced kidney function or elevated baseline potassium levels. About 14% of patients taking Kerendia experience hyperkalemia compared to 6.9% in those on a placebo. Regular monitoring of potassium levels is essential to manage this risk effectively.
Yes, Kerendia can modestly reduce blood pressure. On average, it lowers systolic blood pressure (SBP) by around 3 mmHg and diastolic blood pressure (DBP) by 1 to 2 mmHg after one month of use. These effects are generally consistent. Clinical studies show that about 4.6% of patients using Kerendia experienced low blood pressure, compared to 3.9% on a placebo. However, it’s important to note that Kerendia is not intended for treating high blood pressure.

Even if you’re using SGLT2 inhibitors for chronic kidney disease (CKD) and type 2 diabetes (T2D), adding Kerendia can bring extra benefits. Health guidelines recommend Kerendia for kidney protection and reducing heart risks. It complements SGLT2 inhibitors by offering added kidney and heart protection that SGLT2 inhibitors alone may not provide.
The American Diabetes Association (ADA), American Association of Clinical Endocrinology, and Kidney Disease: Improving Global Outcomes (KDIGO) foundation recommend prescribing Kerendia for patients with chronic kidney disease (CKD) linked to type 2 diabetes (T2D) who still have high protein levels in their urine (persistent albuminuria) despite taking the maximum ACE inhibitors or ARBs. Kerendia aims to further lower the risk of heart and kidney issues in these patients.
No, Kerendia is not a diuretic. Although it is not used to increase urine production like diuretics, it can help lower sodium and water levels in the body, which may lead to effects similar to some diuretics.
Yes, you can take Kerendia and Farxiga together. No interactions have been found between these two medications, so they can be used concurrently as prescribed by your doctor.
Kerendia was approved by the U.S. Food and Drug Administration (FDA) in July 2021.
No, Kerendia tablets should not be cut in half. If you have difficulty swallowing the whole tablet, you can crush it and mix it with water or soft foods like applesauce just before taking it.
Kerendia is approved for treating chronic kidney disease (CKD) in adults with type 2 diabetes. It aims to lower the risk of kidney disease progression and associated complications in diabetic patients. It is not approved for use in non-diabetics.
Yes, you can take Kerendia at night. It is important to take it once daily at about the same time each day to maintain a steady level of the medication in your body.
Kerendia is manufactured by Bayer.
No, Kerendia does not have a generic version.
Kerendia may interact with drugs affecting potassium levels or those that are strong CYP3A4 inhibitors. Medications/supplements raising blood potassium levels, like certain blood pressure drugs or potassium supplements, can cause high potassium levels. This might need monitoring and Kerendia adjustments.
While you can take Kerendia with or without food, you should avoid grapefruit and grapefruit juice. Grapefruit can increase the blood levels of Kerendia, which may enhance its effects and the risk of side effects.
Kerendia slows down chronic kidney disease (CKD) in adults with type 2 diabetes (T2D). It doesn’t boost kidney function directly, but it can lessen the chance of more decline in kidney function and reduce the risk of cardiovascular issues.
When taking Kerendia, consider these precautions:
  • Regular check-ups are important as they can elevate potassium levels.
  • Inform your doctor about all medications to avoid interactions.
  • If you have severe liver or kidney issues, Kerendia may not be suitable.
  • Discuss adrenal gland concerns with your doctor.
  • If pregnant or breastfeeding, consult your healthcare provider first.
  • Limit alcohol intake and be aware of allergic reactions.
Yes, Kerendia can affect blood pressure. While it is used to treat complications of diabetic nephropathy, it may cause low blood pressure as a side effect.
Kerendia is not currently known to cause long-term side effects. Most side effects associated with Kerendia are generally temporary and should resolve once you stop taking the medication.

Disclaimer

Pharma Giant provides medical information to help you better understand medications and medical conditions.This content is for informational use only and does not replace advice from a licensed medical practitioner. Consult your doctor or pharmacist before starting or changing any medication. All our partners follow strict safety standards set by their country’s health authorities to make sure you receive safe and high-quality medications.

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