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Re: Inspra Side Effects

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I would be surprised if these were due to Inspra this fast, but then as this is a drug few of us have used yet will need to keep tabs on this site I think.

Has your weight gone up or down?

Are you getting up at night

In a message dated 1/6/04 14:32:58, airlinerg@... writes:

I have taken Inspra (eplerenone) 25 mg instead of Midamor (amiloride

HBr) 5 mg for 3 days now.

My side effects from Inspra (eplerenone) at 25 mg:

1. strong metallic taste

2. very thirsty

3. bad headache

4. feeling very dried out

5. increased urination

6. feeling fatigued

7. feeling nervous

The worst side effect for me is this bad headache because I already

have fibromyalgia as well.

My blood pressure is 130/85 to 135/90.

Here is the medication I am currently taking:

________

Morning:

________

Inspra (eplernone) 25 mg   [replaced Midamor (amiloride

hydrochloride) 5 mg with Inspra 25 mg on January 3, 2004]

Norvasc (amlodipine besylate) 5 mg

Vitamin C 500 mg

Vitamin E 400 iu

Multivitamin

________

Evening:

________

Cardura (doxazosin mesylate) 1 mg

Celexa (citalopram HBr) 10 mg [increased from 5 mg to 10 mg on

January 2, 2004]

Lipitor (atorvastatin calcium) 10 mg

Vitamin C 500 mg

My test results as of November 4, 2003 when I was on the Midimor

were:

Potassium             3.9 mmol/l

Renin                 0.25 ng/ml/hr

Aldosterone          18  ng/dl

Triglycerides       167

Cholesterol         149

HDL Cholesterol      31

LDL Cholesterol      85

CHOL/HDL Ratio        4.8

As you can see I doubled my Celexa (still a small dose 5 mg to 10

mg) a day before starting the Inspra.

I do not know if I should continue the Inspra or if I should go back

to the Midamor.  It is difficult to ascertain when you change 2

medications at the same time.

I am pretty sure the side effects are from the Inspra though.

Any feedback would be appreciated.

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I have lost 4 pounds since November 2003, so I am down from 180 to

176 pounds and I am 5'6 " .

I am sure INSPRA is causing the metalic taste.

I suggest you try Inspra as a test to see how it feels.

I would be curious to hear feedback from others who try Inspra, but

of course we are all different with different problems.

I am not sleeping well. I usually only get about 5 hours of sleep at

night, and feel tired all day.

> I would be surprised if these were due to Inspra this fast, but

then as this

> is a drug few of us have used yet will need to keep tabs on this

site I think.

>

>

> Has your weight gone up or down?

>

> Are you getting up at night

> In a message dated 1/6/04 14:32:58, airlinerg@r... writes:

>

>

> > I have taken Inspra (eplerenone) 25 mg instead of Midamor

(amiloride

> > HBr) 5 mg for 3 days now.

> >

> > My side effects from Inspra (eplerenone) at 25 mg:

> >

> > 1. strong metallic taste

> > 2. very thirsty

> > 3. bad headache

> > 4. feeling very dried out

> > 5. increased urination

> > 6. feeling fatigued

> > 7. feeling nervous

> >

> > The worst side effect for me is this bad headache because I

already

> > have fibromyalgia as well.

> >

> > My blood pressure is 130/85 to 135/90.

> >

> >

> >

> > Here is the medication I am currently taking:

> >

> > ________

> >

> > Morning:

> > ________

> >

> > Inspra (eplernone) 25 mg   [replaced Midamor (amiloride

> > hydrochloride) 5 mg with Inspra 25 mg on January 3, 2004]

> > Norvasc (amlodipine besylate) 5 mg

> > Vitamin C 500 mg

> > Vitamin E 400 iu

> > Multivitamin

> >

> >

> > ________

> >

> > Evening:

> > ________

> >

> > Cardura (doxazosin mesylate) 1 mg

> > Celexa (citalopram HBr) 10 mg [increased from 5 mg to 10 mg on

> > January 2, 2004]

> > Lipitor (atorvastatin calcium) 10 mg

> > Vitamin C 500 mg

> >

> >

> >

> > My test results as of November 4, 2003 when I was on the Midimor

> > were:

> >

> > Potassium             3.9 mmol/l

> > Renin                 0.25 ng/ml/hr

> > Aldosterone          18  ng/dl

> > Triglycerides       167

> > Cholesterol         149

> > HDL Cholesterol      31

> > LDL Cholesterol      85

>

> > CHOL/HDL Ratio        4.8

> >

> > As you can see I doubled my Celexa (still a small dose 5 mg to 10

> > mg) a day before starting the Inspra.

> >

> > I do not know if I should continue the Inspra or if I should go

back

> > to the Midamor.  It is difficult to ascertain when you change 2

> > medications at the same time.

> >

> > I am pretty sure the side effects are from the Inspra though.

> >

> > Any feedback would be appreciated.

> >

> >

> >

> >

> >

> >

> >

> >

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I went into coma within minutes of taking some drugs. Could be the fillers

rather than the active ingredients as well.

H

Original Message:

-----------------

From: lowerbp2@...

Date: Tue, 6 Jan 2004 18:55:51 EST

hyperaldosteronism

Subject: Re: Inspra Side Effects

I would be surprised if these were due to Inspra this fast, but then as

this

is a drug few of us have used yet will need to keep tabs on this site I

think.

Has your weight gone up or down?

Are you getting up at night

In a message dated 1/6/04 14:32:58, airlinerg@... writes:

> I have taken Inspra (eplerenone) 25 mg instead of Midamor (amiloride

> HBr) 5 mg for 3 days now.

>

> My side effects from Inspra (eplerenone) at 25 mg:

>

> 1. strong metallic taste

> 2. very thirsty

> 3. bad headache

> 4. feeling very dried out

> 5. increased urination

> 6. feeling fatigued

> 7. feeling nervous

>

> The worst side effect for me is this bad headache because I already

> have fibromyalgia as well.

>

> My blood pressure is 130/85 to 135/90.

>

>

>

> Here is the medication I am currently taking:

>

> ________

>

> Morning:

> ________

>

> Inspra (eplernone) 25 mg   [replaced Midamor (amiloride

> hydrochloride) 5 mg with Inspra 25 mg on January 3, 2004]

> Norvasc (amlodipine besylate) 5 mg

> Vitamin C 500 mg

> Vitamin E 400 iu

> Multivitamin

>

>

> ________

>

> Evening:

> ________

>

> Cardura (doxazosin mesylate) 1 mg

> Celexa (citalopram HBr) 10 mg [increased from 5 mg to 10 mg on

> January 2, 2004]

> Lipitor (atorvastatin calcium) 10 mg

> Vitamin C 500 mg

>

>

>

> My test results as of November 4, 2003 when I was on the Midimor

> were:

>

> Potassium             3.9 mmol/l

> Renin                 0.25 ng/ml/hr

> Aldosterone          18  ng/dl

> Triglycerides       167

> Cholesterol         149

> HDL Cholesterol      31

> LDL Cholesterol      85

> CHOL/HDL Ratio        4.8

>

> As you can see I doubled my Celexa (still a small dose 5 mg to 10

> mg) a day before starting the Inspra.

>

> I do not know if I should continue the Inspra or if I should go back

> to the Midamor.  It is difficult to ascertain when you change 2

> medications at the same time.

>

> I am pretty sure the side effects are from the Inspra though.

>

> Any feedback would be appreciated.

>

>

>

>

>

>

>

>

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> I have taken Inspra (eplerenone) 25 mg instead of Midamor

(amiloride

> HBr) 5 mg for 3 days now.

>

> My side effects from Inspra (eplerenone) at 25 mg:

>

> 1. strong metallic taste

> 2. very thirsty

> 3. bad headache

> 4. feeling very dried out

> 5. increased urination

> 6. feeling fatigued

> 7. feeling nervous

>

> The worst side effect for me is this bad headache because I

already

> have fibromyalgia as well.

>

> My blood pressure is 130/85 to 135/90.

>

> [snipped meds info]

>

> Any feedback would be appreciated.

I have been on Inspra since mid-December, and have not noticed any

significant side affects. I had metallic taste before starting

Inspra, and I know as Dr Grimm has indicated that this is due to the

potassium imbalance. The only other " side affects " I've noticed are

somewhat opposite yours - less urination, less thirst, less

fatigued - which I think is the goal of the drug.

I've not had blood tests yet, I was supposed to get one this week

and the doc has not called me in for it yet. When I do I'll let you

know if Inspra has changed anything.

Jim, in very cold windy Cincinnati (unusual weather here!)

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How is the B\P now

Thanks

Mark

Re: Inspra Side Effects

> I have taken Inspra (eplerenone) 25 mg instead of Midamor (amiloride > HBr) 5 mg for 3 days now.> > My side effects from Inspra (eplerenone) at 25 mg:> > 1. strong metallic taste> 2. very thirsty> 3. bad headache> 4. feeling very dried out> 5. increased urination> 6. feeling fatigued> 7. feeling nervous> > The worst side effect for me is this bad headache because I already > have fibromyalgia as well.> > My blood pressure is 130/85 to 135/90.> > [snipped meds info]>> Any feedback would be appreciated.I have been on Inspra since mid-December, and have not noticed any significant side affects. I had metallic taste before starting Inspra, and I know as Dr Grimm has indicated that this is due to the potassium imbalance. The only other "side affects" I've noticed are somewhat opposite yours - less urination, less thirst, less fatigued - which I think is the goal of the drug.I've not had blood tests yet, I was supposed to get one this week and the doc has not called me in for it yet. When I do I'll let you know if Inspra has changed anything.Jim, in very cold windy Cincinnati (unusual weather here!)

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Be prepared to back off on your other drugs. I would measure BP and weight daily. Wt should go down about 3-4 lbs.

May your pressure be low!

CE Grim, BS (Chem/Math), MS (Biochem), MD.

Professor of Medicine and Epidemiology

Board Certified in Internal Medicine, Geriatrics and Hypertension

Published over 230 research papers, chapters and reviews in the area of high blood pressure: epidemiology, history, endocrinology, genetics and physiology.

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> How is the B\P now

> Thanks

> Mark

> Re: Inspra Side Effects

>

>

My BP was already controlled via atenolol and norvasc, usually in

the 120s or 130s over 70s. I've kept those drugs and added Inspra,

primarily to get my potassium/sodium balance back. Still waiting to

get my blood tested since starting Inspra to see what affect it has

had.

Jim in Cinci

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  • 2 years later...
Guest guest

My creatinine goes up and eGFR comes low.

On 5/27/06, lowerbp2@... <lowerbp2@...> wrote:

In a message dated 5/27/06 2:11:43 PM,

farahbar@... writes:

The only negativething is my kidneys are being affected on Spiro so it makes me feel

sick all over and I can't describe what it feels like.How are your kidneys being affected?

May your pressure be low!CE Grim, BS(Chem/Math), MS(Biochem), MD.Board Certified in Internal Medicine, Geriatrics and HypertensionFormer Epidemiologic Intelligence Services Officer (Lt. Comdr.), CDC

Specializing in Difficult to Manage High Blood PressureClinical Professor of Medicine, Medical College of Wisconsin

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Guest guest

That's interesting. When you made the switch, did you stop all spiro

and go straight to inspra, or do a taper-switch? Was it double the

spiro milligrams?

Dave

On May 27, 2006, at 7:49 AM, a Hall wrote:

> Being female, I've never had a problem with spiro. My

> endo wanted me to try Inspra for some reason, he said

> it was new and more effective. I tried it for 3

> weeks, 50 mg twice per day, the headaches got no

> better and my blood pressure was waaay high. Spiro

> seems to work well for me so I'll stick with it.

>

> a

>

> --- airlinerg <airlinerg@...> wrote:

>

>> Inspra does cause very bad headaches initially. I

>> got them as well

>> and quit Inspra.

>>

>> I went back to Inspra, becuase I cannot take

>> Spironolactone.

>> I restarted again on Inspra with just 25 mg per day

>> for a few weeks.

>> I gradually increased slowly to 150 mg per day.

>>

>> After the body gets use to Inspra, you will no

>> longer have headaches.

>> It takes about 4 weeks on 25 mg of Inspra for the

>> body to get used

>> to it, and in sensitive people 8 weeks at this low

>> dose. You may

>> even have to try 12.5 mg twice a day.

>>

>> Spironolactone (Aldactone) is a great medication if

>> you can use it

>> without getting gynocomastia and impotence.

>> Unfortunately, those 2

>> side effects are very possible - especially for men,

>> among others.

>>

>> If you were doing well on Spironolactone, why did

>> you try Inspra?

>> Inspra is a lot more expensive.

>>

>>

>>

>>

>>

>>>

>>> I tried Inspra but went back to spiro due to the

>>> raging headache it gave me. I think others here

>> have

>>> had the same problem with side effects and are no

>>> longer taking it.

>>>

>>>

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Guest guest

The magnesium effect you describe shows up in the literature. Wonder

what we'd get putting PA + depression " into PubMed?

Something I experienced with spiro (when that was the only change for a

long while) was a tendency to tiredness or depression unless I got

plenty of exercise. Then, the body did its balancing act much better.

Dave

On May 27, 2006, at 3:47 PM, shahall wrote:

> I feel tired pretty much all the time, some days are worse than

> others. I wonder if this goes along with PA or we're just weird :)?

> It sounds like you might be having some orthostatic hypotension like I

> have sometimes. My BP will be fine sitting but drops precipitously

> upon standing. It doesn't bother me too much at home but I have to

> bend and stoop at work quite a bit some days and I've almost passed

> out twice. Very annoying. I've been taking a magnesium supplement

> 500 mg mg/day for over two weeks now. Maybe it's just coincidence but

> the tingling in my feet is about 95% gone. What has the spiro done to

> your kidneys? I had one creatinine level come back elevated but my

> last one was ok.

>

> a

>

>

>> on it long enough. My only problem with spiro now is feeling very

>> tired in the mornings I can't move a muscle and ocasional dizziness

>> when I am standing. My K has been in 4.5-4.7 range. My Sodium in

>> lower normal range. I get tingling in my arms and legs occasionally

>> and goes away when I increase my intake of Magnesium through foods

>> only(like I will eat a couple of spoons of peanut butter or eat a

>> bunch of peanuts and the tingling goes away). The only negative

>> thing is my kidneys are being affected on Spiro so it makes me feel

>> sick all over and I can't describe what it feels like.

>

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Guest guest

He told me to stop the spiro & start the inspra, no

taper. I was on the same dose of spiro at the time.

a

--- Dave <dave@...> wrote:

> That's interesting. When you made the switch, did

> you stop all spiro

> and go straight to inspra, or do a taper-switch?

> Was it double the

> spiro milligrams?

>

> Dave

>

> On May 27, 2006, at 7:49 AM, a Hall wrote:

>

> > Being female, I've never had a problem with spiro.

> My

> > endo wanted me to try Inspra for some reason, he

> said

> > it was new and more effective. I tried it for 3

> > weeks, 50 mg twice per day, the headaches got no

> > better and my blood pressure was waaay high.

> Spiro

> > seems to work well for me so I'll stick with it.

> >

> > a

> >

> > --- airlinerg <airlinerg@...> wrote:

> >

> >> Inspra does cause very bad headaches initially. I

> >> got them as well

> >> and quit Inspra.

> >>

> >> I went back to Inspra, becuase I cannot take

> >> Spironolactone.

> >> I restarted again on Inspra with just 25 mg per

> day

> >> for a few weeks.

> >> I gradually increased slowly to 150 mg per day.

> >>

> >> After the body gets use to Inspra, you will no

> >> longer have headaches.

> >> It takes about 4 weeks on 25 mg of Inspra for the

> >> body to get used

> >> to it, and in sensitive people 8 weeks at this

> low

> >> dose. You may

> >> even have to try 12.5 mg twice a day.

> >>

> >> Spironolactone (Aldactone) is a great medication

> if

> >> you can use it

> >> without getting gynocomastia and impotence.

> >> Unfortunately, those 2

> >> side effects are very possible - especially for

> men,

> >> among others.

> >>

> >> If you were doing well on Spironolactone, why did

> >> you try Inspra?

> >> Inspra is a lot more expensive.

> >>

> >>

> >>

> >>

> >>

> >>>

> >>> I tried Inspra but went back to spiro due to the

> >>> raging headache it gave me. I think others here

> >> have

> >>> had the same problem with side effects and are

> no

> >>> longer taking it.

> >>>

> >>>

>

>

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Guest guest

Same milligrams, and you simply switched. So what happened to your BP?

Any odd effects?

dave

On May 28, 2006, at 6:34 AM, a Hall wrote:

> He told me to stop the spiro & start the inspra, no

> taper. I was on the same dose of spiro at the time.

>

> a

>

> --- Dave <dave@...> wrote:

>

>> That's interesting. When you made the switch, did

>> you stop all spiro

>> and go straight to inspra, or do a taper-switch?

>> Was it double the

>> spiro milligrams?

>>

>> Dave

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Guest guest

It went way up, 190-200 range. Only weird effect I

noticed was raging headache every day I took it.

a

--- Dave <dave@...> wrote:

> Same milligrams, and you simply switched. So what

> happened to your BP?

> Any odd effects?

>

> dave

>

> On May 28, 2006, at 6:34 AM, a Hall wrote:

>

> > He told me to stop the spiro & start the inspra,

> no

> > taper. I was on the same dose of spiro at the

> time.

> >

> > a

> >

> > --- Dave <dave@...> wrote:

> >

> >> That's interesting. When you made the switch,

> did

> >> you stop all spiro

> >> and go straight to inspra, or do a taper-switch?

> >> Was it double the

> >> spiro milligrams?

> >>

> >> Dave

>

>

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