Kerendia® Tablets for Chronic Kidney Disease

Kerendia® is a prescription tablet for adults with chronic kidney disease tied to type 2 diabetes. This page explains how the treatment works and how to use it, with US delivery from Canada. It can help you compare options and plan costs, even without insurance.

What Kerendia Is and How It Works

Kerendia reduces the risk of kidney and heart complications in chronic kidney disease associated with type 2 diabetes. It belongs to a class called nonsteroidal mineralocorticoid receptor antagonists. By selectively blocking these receptors, it may help limit inflammation and fibrosis in the kidneys and heart.

Border Free Health connects U.S. patients with licensed Canadian partner pharmacies; prescriptions are verified with prescribers before dispensing.

The active ingredient is finerenone, available as Finerenone tablets. This medicine is taken once daily and is not an insulin or a diuretic. It does not replace blood sugar therapies but works alongside them to lower kidney and cardiovascular risk. For condition background and context, see our Chronic Kidney Disease hub.

Who It’s For

This therapy is for adults with chronic kidney disease related to type 2 diabetes. It is often considered when albumin is present in the urine and kidney function is reduced. People with a history of high potassium or advanced kidney failure may not be candidates.

Those taking strong CYP3A4 inhibitors are generally advised not to use this medicine. Your prescriber will check baseline potassium and kidney function before starting and during treatment. You can review related condition guidance in Type 2 Diabetes.

Dosage and Usage

This treatment is taken once daily, with or without food, at the same time each day. Swallow the tablet whole with water. Do not crush, split, or chew. The starting dose is chosen by your prescriber based on kidney function and potassium results. Doses may be adjusted according to follow-up labs on a scheduled basis.

It can be used along with blood pressure and glucose therapies as directed. Avoid potassium supplements, salt substitutes containing potassium, and other mineralocorticoid receptor blockers unless your prescriber advises. For broader CKD management topics, see Kidney Disease Treatment.

Strengths and Forms

Film-coated tablets are supplied in two strengths commonly used in practice:

• Kerendia 10 mg
• Kerendia 20 mg

Not all packaging or pack sizes are available at all times. Availability can vary by partner pharmacy and lot. Tablets are typically round and color-distinct by strength as described in the official label.

Missed Dose and Timing

If you miss a dose, take it as soon as you remember on the same day. If it is almost time for the next dose, skip the missed one and take your regular dose at the usual time. Do not take two doses at once. Try setting a daily reminder or pairing the dose with a routine activity to stay consistent.

Storage and Travel Basics

Store tablets at room temperature in a dry place away from moisture. Keep them in the original container with the label intact. Protect from excessive heat and keep out of reach of children and pets. When traveling, pack your medication in your carry-on with a copy of your prescription. Use a pill organizer only if it stays dry and clearly labeled. If you need related supplies, browse Diabetes Care. For country-of-origin details, see Canada.

Benefits

This treatment can reduce the risk of sustained decline in kidney function and the chance of progression to kidney failure in eligible adults with diabetic kidney disease. It can also lower the risk of heart-related events such as cardiovascular death, nonfatal heart attack, or hospitalization for heart failure in the studied population. Once-daily dosing adds convenience. It works alongside standard measures like blood pressure control, blood sugar management, and lifestyle changes. For diet support, explore Dietary Strategies.

Side Effects and Safety

The most common effect is elevated potassium. Other effects can include mild dizziness or changes in kidney lab results. Many people do not experience symptoms even when potassium rises, which is why regular lab checks are key.

• High potassium: often detected on blood tests
• Changes in kidney labs: monitored by your prescriber
• Dizziness: usually mild and transient

Serious risks may include significant hyperkalemia that requires treatment or holding the medicine. Report symptoms like muscle weakness, slow or irregular heartbeat, or severe fatigue. Seek urgent care if you have signs of severe electrolyte changes. Your prescriber will tailor monitoring and decide if therapy should be interrupted.

Drug Interactions and Cautions

Avoid strong CYP3A4 inhibitors such as ketoconazole, clarithromycin, or itraconazole; these can raise drug levels to unsafe ranges. Strong CYP3A4 inducers may reduce effectiveness. Using potassium-sparing diuretics, other mineralocorticoid receptor blockers, or potassium supplements can raise potassium levels. Salt substitutes containing potassium should be avoided unless your prescriber instructs otherwise.

People with very high baseline potassium or severely reduced kidney function will be assessed carefully before starting. Share all prescription and over-the-counter medicines, vitamins, and herbal products with your prescriber. For lifestyle guidance that may support kidney health, read Healthy Kidney Tips.

What to Expect Over Time

It takes consistent daily use and regular lab checks to see whether the treatment fits your plan. Potassium and kidney function will be monitored, especially early on and after any medication changes. Some people experience no noticeable symptoms; the benefits are assessed through labs and clinical follow-up. If your prescriber adjusts other medicines, they may repeat labs to keep potassium in a safe range. Sticking to a routine and keeping lab appointments helps your team evaluate long-term effects.

Compare With Alternatives

Prescribers often combine kidney-protective strategies. Depending on your history, alternatives may include:

• SGLT2-based therapy such as Invokamet for patients with type 2 diabetes who are appropriate candidates
• ACE inhibitor therapy such as Captopril when indicated for blood pressure and kidney protection

These are not interchangeable with this medicine. Your prescriber will decide how each option fits into your plan.

Pricing and Access

We list current options so you can review Kerendia price alongside supply details and pharmacy source. Many patients look for ways to reduce out-of-pocket costs. You can check our Promotions page for current offers and coupon language. We support transparent Canadian pricing with fulfillment that Ships from Canada to US. Checkout is secure with encrypted payment processing.

Availability and Substitutions

Supply can vary by strength and package. If temporarily unavailable, your prescriber may suggest a suitable alternative based on your labs and medical history. A generic finerenone is not approved in the United States or Canada at this time; brand product is typically dispensed. We do not provide timelines for restocks, but the site reflects current availability as partner inventory updates.

Patient Suitability and Cost-Saving Tips

This therapy may suit adults with diabetic kidney disease who have albumin in the urine and reduced kidney function, and who do not have high potassium at baseline. It may not be appropriate for people using strong CYP3A4 inhibitors or those with persistent hyperkalemia. Decisions are individualized by your prescriber.

For savings, consider:

• Multi-month fills: fewer refills and potential service efficiencies
• Aligned labs: schedule tests before refill planning
• Medication list review: avoid duplicate therapies that add costs
• Refill reminders: set alerts to prevent gaps

Explore broader diabetes topics in Diabetes Care and background content in Type 2 Diabetes.

Questions to Ask Your Clinician

• How will potassium and kidney function be monitored during treatment?
• Which medicines or supplements should I stop or avoid while taking this therapy?
• What signs of high potassium should I watch for between lab checks?
• How does this medicine fit with my blood pressure and diabetes plan?
• If my labs change, what adjustments might be considered?
• Would an SGLT2 option or ACE inhibitor be appropriate for me?

Authoritative Sources

Ready when you are. Place your order for US shipping from Canada with prompt, express shipping. Prescription required; information here is educational and not a substitute for professional medical advice.