A 64-year-old woman presents for a routine visit. Her medical history is significant for depression, gastroesophageal reflux disease, hyperlipidemia, and asthma. Her current medications include fluoxetine, bupropion, lansoprazole, pravastatin, albuterol, and montelukast. Her exam is unremarkable, and you order a routine metabolic panel. Later that day, you are notified that her creatinine level is 2.3 mg/dL. Three years earlier, her serum creatinine had been 1.1 mg/dL.
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