Re: Bi lateral adrenal hyperplasia - hypokalaemic myopathy

[Guest guest]

--

CE Grim MD

Clinical Professor of Internal Medicine

Professor of Epidemiology

Board Certified in Internal Medicine, Geriatrics and Hypertenision

Only blood tests will do.

I would recommed you do the DASH diet which is about as high a K diet as you can

do. (4500 mg) and the low sodium (1500) also helps save K.

What other meds are you taking.?

Any family history of sudden low Ks? There is a rare family syndrome called

familial hypokalemic periodic paralysis that can cause sudden drops in K,esp at

night or after high CHO meal and lead to periodic paralsysi that reverts

spontanelously. I took care of one family in Indiana in which one member had

likely died because he got IV K when his K was rapidly returning to normal and

his K went up to high and he had cardiac arrest.

[Guest guest]

--

CE Grim MD

Clinical Professor of Internal Medicine

Professor of Epidemiology

Board Certified in Internal Medicine, Geriatrics and Hypertenision

Only blood tests will do.

I would recommed you do the DASH diet which is about as high a K diet as you can

do. (4500 mg) and the low sodium (1500) also helps save K.

What other meds are you taking.?

Any family history of sudden low Ks? There is a rare family syndrome called

familial hypokalemic periodic paralysis that can cause sudden drops in K,esp at

night or after high CHO meal and lead to periodic paralsysi that reverts

spontanelously. I took care of one family in Indiana in which one member had

likely died because he got IV K when his K was rapidly returning to normal and

his K went up to high and he had cardiac arrest.

[Guest guest]

Thanks for the prompt reply. I am currently taking:

20mg Lisinopril once a day

20 mg Amiloride twice a day

10mg Amlodopine once a day

and 5mg/5ml of spironalactone once a day - I do not tolerate this drug very well

I also take a number of medicines to counteract side effects and for the headache I have now had for 8 years.

My K is currently fairly stable around 3.5 but there are ocassional dips.

I am also on a low sodium diet and eat plenty of fruit

Regards,

grahamlowerbp2@... wrote:

-- CE Grim MDClinical Professor of Internal MedicineProfessor of EpidemiologyBoard Certified in Internal Medicine, Geriatrics and HypertenisionOnly blood tests will do.I would recommed you do the DASH diet which is about as high a K diet as you can do. (4500 mg) and the low sodium (1500) also helps save K. What other meds are you taking.?Any family history of sudden low Ks? There is a rare family syndrome called familial hypokalemic periodic paralysis that can cause sudden drops in K,esp at night or after high CHO meal and lead to periodic paralsysi that reverts spontanelously. I took care of one family in Indiana in which one member had likely died because he got IV K when his K was rapidly returning to normal and his K went up to high and he had cardiac arrest.

[Guest guest]

Thanks for the prompt reply. I am currently taking:

20mg Lisinopril once a day

20 mg Amiloride twice a day

10mg Amlodopine once a day

and 5mg/5ml of spironalactone once a day - I do not tolerate this drug very well

I also take a number of medicines to counteract side effects and for the headache I have now had for 8 years.

My K is currently fairly stable around 3.5 but there are ocassional dips.

I am also on a low sodium diet and eat plenty of fruit

Regards,

grahamlowerbp2@... wrote:

-- CE Grim MDClinical Professor of Internal MedicineProfessor of EpidemiologyBoard Certified in Internal Medicine, Geriatrics and HypertenisionOnly blood tests will do.I would recommed you do the DASH diet which is about as high a K diet as you can do. (4500 mg) and the low sodium (1500) also helps save K. What other meds are you taking.?Any family history of sudden low Ks? There is a rare family syndrome called familial hypokalemic periodic paralysis that can cause sudden drops in K,esp at night or after high CHO meal and lead to periodic paralsysi that reverts spontanelously. I took care of one family in Indiana in which one member had likely died because he got IV K when his K was rapidly returning to normal and his K went up to high and he had cardiac arrest.

[Guest guest]

Recommend you have your Dr collect a 24 hr urine to see how much salt and

potassium you are getting.

Hope you can get some Inspra samples to try or even buy for say 2 months to see

what happens. If it cuts our all of your other meds it may be worth it.

CE Grim MD

Clinical Professor of Internal Medicine

Professor of Epidemiology

Board Certified in Internal Medicine, Geriatrics and Hypertenision

[Guest guest]

Recommend you have your Dr collect a 24 hr urine to see how much salt and

potassium you are getting.

Hope you can get some Inspra samples to try or even buy for say 2 months to see

what happens. If it cuts our all of your other meds it may be worth it.

CE Grim MD

Clinical Professor of Internal Medicine

Professor of Epidemiology

Board Certified in Internal Medicine, Geriatrics and Hypertenision

[Guest guest]

Thanks for the advice, it is much appreciated.

Do you happen to know whether Inspra is licenced in the UK yet/ We tend to drag way behind the States in these matters

Reagrds,

grahamlowerbp2@... wrote:

Recommend you have your Dr collect a 24 hr urine to see how much salt and potassium you are getting. Hope you can get some Inspra samples to try or even buy for say 2 months to see what happens. If it cuts our all of your other meds it may be worth it. CE Grim MDClinical Professor of Internal MedicineProfessor of EpidemiologyBoard Certified in Internal Medicine, Geriatrics and Hypertenision

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[Guest guest]

Thanks for the advice, it is much appreciated.

Do you happen to know whether Inspra is licenced in the UK yet/ We tend to drag way behind the States in these matters

Reagrds,

grahamlowerbp2@... wrote:

Recommend you have your Dr collect a 24 hr urine to see how much salt and potassium you are getting. Hope you can get some Inspra samples to try or even buy for say 2 months to see what happens. If it cuts our all of your other meds it may be worth it. CE Grim MDClinical Professor of Internal MedicineProfessor of EpidemiologyBoard Certified in Internal Medicine, Geriatrics and Hypertenision

Messenger - Communicate instantly..."Ping" your friends today! Download Messenger Now

[Guest guest]

Should be able to find out from their web site I would guess.

Clarence E. Grim, BS, MS, MD, FACP, FACC

Professor of Medicine and Epidemiology

Board Certified in Internal Medicine, Geriatrics and Hypertension

Focusing on difficult to control high blood pressure and high cholesterol especially in the African Diaspora