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Supplementing Vitamin B12

Low levels have been associated with increased feelings of anxiety, irritability, and low mood

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Parameters to monitor ■ Serum electrolytes (especially creatinine and potassium) ■ Symptoms of angioedema ■ BP ■ Symptoms of hypotension ■ CBC (especially with captopril and enalapril) for neutropenia, which is more common in patients with preexisting renal impairment ■ Cough ■ Urinary proteins Direct Renin Inhibitors See Table 12-16 for a list of direct renin inhibitors, their usual dosage range, and adverse effects associated with these medications