Doctor insights on:
Potassium Wasting Diuretics
Low aldosterone, normal renin. Sodium 141(135-145), potassium 3.4(3.5-5.0) confused, shouldnt sodium be lower if low aldosterone and potassium higher?
By strict definition, a diuretic is any medicine causing increased urination. More practically, a diuretic is a medicine causing the kidney to secrete excess fluid by blocking the re-absorption of either water itself or electrolytes like sodium (primarily), potassium, chloride and bicarbonate (sodium bicarbonate). These medicines are effective treatments for many disorders including ...Read more
Can anything else cause renal wasting of potassium and magnesium besides gitelman & bartters syndrome?
Taking Benicar (olmesartan) 40/ hct 12.5 but my potassium is 3.0 as the diuretic is causing potassium loss. Any other meds to control htn & replace hctz diuretic?
Low potassium levels: Your low potassium (k) could be worsened by magnesium (m) loss due to hct. Your k won't be normal unless the m is repleted. At your age, with a history of cardiac disease, you may have some chronic kidney disease. Hct won't work if you've <50% of your kidney function left. If your BP isn't controlled on your meds, ask your doc to rx Furosemide (f) as a diuretic. F causes urine loss of m and k too. ...Read moreSee 1 more doctor answer
Conflicting info on diuretics use in ckd4 with hyperkalemia issues (low aldosterone) with 2 g proteinuria. Will 20 mg lasix (furosemide) daily dose harm kidney?
Follow MD advice : You already have kidney problems and should be monitored by a kidney specialist. Follow their advice closely rather then trying to treat yourself. What is appropriate for your problem is best determined by some who does this for a living then try to make sense of all the information that you get from your well meaning friends and the internet ...Read more
What's more appropriate for hypokalemia or hypokalemic periodic paralysis? Potassium chloride or potassium citrate? Thanks.
Yes, some diuretics — also called water pills — decrease potassium in the blood: Diuretics are commonly used to treat high blood pressure (hypertension) because they lower blood pressure by helping your body eliminate sodium and water through your urine. However, some diuretics can also cause you to eliminate more potassium in your urine. This can lead to low potassium levels in your blood (hypokalemia). Signs and symptoms of hypokalemia include: Weakness, Fatigue, Muscle cramps, Constipation, Problems with your heart's rhythm (arrhythmias). Not all diuretics cause this problem. The potassium-sparing diuretics don't lower potassium levels. These include spironolactone (Aldactone), eplerenone (Inspra) and triamterene (Dyrenium). In addition, some medications to treat high blood pressure may actually increase potassium levels in your blood. Among these are angiotensin-converting enzyme (ACE) inhibitors, angiotensin II receptor blockers (ARBs) and renin inhibitors. Treatment of low potassium may include: Increasing potassium in your diet, Taking potassium supplements, Changing to a potassium-sparing diuretic. If you're taking an ACE inhibitor with a diuretic and getting enough potassium in your diet but your potassium level is still low, your doctor may recommend further testing to help identify the underlying cause. ...Read more
Thiazides in CKD: Thiazides are not contraindicated in renal failure for any medical reason. They are not used as they are ineffective of making patients urinate. Patients with chronic kidney disease are placed on loop diuretics which are able to evoke a diuretic response in patients with it. Patients on dialysis are given these drugs when they still have residual renal function so they can eliminate urine. ...Read moreSee 1 more doctor answer
Can I take vitamin C pills (always made of sodium/potassium bicarbonate, (sodium bicarbonate) ascorbate, benzoate...) w. pulmonary hypertension requiring low sodium diet?
Yes, however...: I strongly advise you take Vitamin C, ideally 1000 mg 2-3x/day, but you should try to find forms without sodium. I don't know what's available in Denmark, but in the US you can find ascorbic acid, or calcium or magnesium ascorbate without sodium. Lypo-spheric Vit. C is esp. well-absorbed,but has 120 mg of sodium, but a low sodium diet usually allows 2000mg/day. Vit. C is best with bioflavonoids. ...Read more
Potassium 4.0 with good diet. On fludrocortisone 0.1mg its 3.2 with 80meq potassium? Urine potassium normal before florinef. Big drop from low dose?
If pt has potassium 3.3 mmol/L sodium 146 mmolL corrected calcium 2.63 mmol/L magnesium 0.70 mmol/L chloride 95 CHF renal & hepatic failure is it OK to add KCL 30 mmol to normal saline IV?
IV FlUID: The decision is an individualized doctor-specific and patient-specific judgement. ...Read more
I took doxycycline hyclate & water w/added electrolytes (calcium chloride, magnesium chloride, potassium bicarbonate) . Severe skin rash. Connection?
Im 65 with chf ckd, get side effects from lasix (furosemide) (hearing/hemoglobin loss, hyperglyc, aplastic anemia). Any alternatives or tips to tolerate lasix (furosemide)?
Will a magnesium supplement higher your serum potassium levels? Renal
Wasting of Mg and K. When started Mg serum potassium raised.
Be careful: Taking Mg and K may be dangerous for certain people. If you are going to take these supplements, you need to be careful that your kidney function is normal to begin with and that you do not take too much. It is best to seek your doctor's advice especially as high potassium levels can be dangerous. ...Read moreSee 1 more doctor answer
Depends.: Urocit-k is useful in the treatment of recurrent kidney stones and its dose will vary depending on the clinical situation. The typical starting dose is 30meq per day, which is divided into two (15meq) or three (10meq) doses. The max dose is 100meq/day. The dose will depend on renal function, response measured through urine collection studies, and patient compliance. Please check with your doctor. ...Read more
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