Pharmacology Quiz
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CARDIOVASCULAR & RENAL PHARMACOLOGY
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A 68-year-old male with a history of hypertension and HFrEF (LVEF 30%) is managed in a cardiology clinic. His current medications include lisinopril 20 mg daily, carvedilol 25 mg twice daily, and furosemide 40 mg daily. He remains symptomatic (NYHA Class II). The decision is made to discontinue lisinopril and initiate sacubitril/valsartan.
Which of the following is the most critical step to ensure patient safety during this medication transition, and what is the underlying pharmacological reason for this precaution?
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