Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 9/5/2025

Telmisartan Safety in CKD and AKI

Renoprotective Benefits and Monitoring

  • In patients with CKD, particularly those with albuminuria, telmisartan provides renoprotective benefits when properly monitored, according to the Kidney International guidelines 1
  • The American Journal of Kidney Diseases recommends watching for signs of worsening renal function, especially during intercurrent illness or when undergoing procedures that may increase the risk of AKI 2

Special Considerations

  • The Kidney International guidelines suggest that telmisartan offers renoprotective benefits in patients with diabetes, hypertension, and albuminuria, which may outweigh risks when properly monitored 1