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A member asked:
Sodium levels is my 128.my doctor stopped my 25 mg of hctz and replaced it with 25 mg spironolactone. i also have ckd stage 3 and type 2_diabetes.i cannot see a nephrologist til 6/22.how long til i see,results or should i take different action?
2 doctors weighed in across 2 answers
It is not feasible to a .provide a meaningful opinion without additional history, physical examination and may be some tests. Your doctor who knows more about your health should be able to advise you better. Wish you good health!
Answered 5/24/2022
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It is correct to stop hctz and replace it with spironolactone. However, with your medical history I assume you are also taking blood pressure medication which belongs to ACE inhibitor group such as lisinopril, ramipril, etc. or ARB group such as losartan, valsartan, etc. Combination use of spironolactone + either ACEi and ARB drug can raise potassium (K) in CKD stage 3 if you do not limit K intake
Answered 5/24/2022
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