T2DM with Grade II Fatty Liver with Hb-9

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AS .. THIS COMBINATION MAY LEADS TO .. DEHYDRATION .. IT IS NOT GIVEN TOGETHERLY..

Tnx Dr Vipin Bihari Jain sir
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I don't think it's safe and rational combination.. Electrolyte and hydration imbalance can be caused.

empagliflozin oral , spironolactone oral . Either increases the level of the other by added drug effects. Combination increases effect of diuretic and may increase risk of dehydration.

Better choice would be indepamide

K+ SPARRING DIAURETIC + SGLT2 INH INCREASE URINE VOLUME LEAD TO DEHYDRATION