Guest guest Posted October 26, 2004 Report Share Posted October 26, 2004 I have secondary hyperaldosteronism. Is Inspra an effective drug to use in place of Spriolactone? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 27, 2004 Report Share Posted October 27, 2004 > Yes is should work. What is the cause of your secondary Aldo? > > > > CE Grim, BS (Chem and Math), MS (Biochemistry), MD. > Clinical Professor of Medicine and Epidemiology > Board Certified in Internal Medicine, Geriatrics and Hypertension Don't know. I had two radiology scans six years apart which showed the same results: aldosterone secretion from both adrenal glands. Although the left gland is slightly enlarged and has a 1 mm cyst on it which hasn't grown or changed in 6 years, so surgery isn't an option for me. I'm on 200 mg. of spirolactone now, but do not like this drug as it has messed up menstruation, in my opinion caused water retention and weight gain, and I'm spending all morning in the bathroom. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 28, 2004 Report Share Posted October 28, 2004 That does not mean the aldo is secondary. Secondary is assocaited with high renins not low. With the menses problems would try Inspra. Give us more details about your history of low K and HTN. Age of onset. How bad Family history. -- May your pressure be low! CE Grim MD Clinical Professor of Internal Medicine Professor of Epidemiology Board Certified in Internal Medicine, Geriatrics and Hypertension Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 28, 2004 Report Share Posted October 28, 2004 Age of onset: 38 Family history: high blood pressure runs in family on mother's side bp before treatment with spirolactone 180-210/over 100. Now it ranges from 120/80- 135/90, depending on if I've just run into the doctor's office or not. I have no idea what my renins are. Was diagnosed with low potassium in '98 while trying to conventially treat the high bp which had been present for 1 - 2 years before and sent to er for 2 day hospital stay when true condition was diagnosed after CT and radiology test- potassium levels now are normal (with spiro) Was recently rechecked with MRI and all other tests (Echo, blood work, indicated no change in condition, therefore I'm still on the spiro. In hyperaldosteronism , lowerbp2@a... wrote: > That does not mean the aldo is secondary. Secondary is assocaited with high renins not low. > > With the menses problems would try Inspra. > > Give us more details about your history of low K and HTN. > > Age of onset. > How bad > Family history. > > -- > a > > May your pressure be low! > > CE Grim MD > Clinical Professor of Internal Medicine > Professor of Epidemiology > > Board Certified in Internal Medicine, Geriatrics and Hypertension Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 28, 2004 Report Share Posted October 28, 2004 > > That does not mean the aldo is secondary. Secondary is assocaited > with high renins not low. > > > > With the menses problems would try Inspra. > > > > Give us more details about your history of low K and HTN. > > > > Age of onset. > > How bad > > Family history. > > > > -- > > a > > > > May your pressure be low! > > > > CE Grim MD > > Clinical Professor of Internal Medicine > > Professor of Epidemiology > > > > Board Certified in Internal Medicine, Geriatrics and Hypertension Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 28, 2004 Report Share Posted October 28, 2004 Ask what your renin and aldo results were. -- May your pressure be low! CE Grim MD Clinical Professor of Internal Medicine Professor of Epidemiology Board Certified in Internal Medicine, Geriatrics and Hypertension Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 29, 2004 Report Share Posted October 29, 2004 ---I do remember my doctor saying that my Aldosterone was still high (although obviously not too high as my BP is reasonably controlled). I plan to make an appt. with an endo and get him/her to review my chart. In hyperaldosteronism , lowerbp2@a... wrote: > Ask what your renin and aldo results were. > > -- > > > May your pressure be low! > > CE Grim MD > Clinical Professor of Internal Medicine > Professor of Epidemiology > > Board Certified in Internal Medicine, Geriatrics and Hypertension Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 30, 2004 Report Share Posted October 30, 2004 In a message dated 10/29/04 8:24:46, yoffi@... writes: ---I do remember my doctor saying that my Aldosterone was still high (although obviously not too high as my BP is reasonably controlled). I plan to make an appt. with an endo and get him/her to review my chart. In hyperaldosteronism , lowerbp2@a... wrote: > Ask what your renin and aldo results were. > > -- > > > May your pressure be low! > > CE Grim MD > Clinical Professor of Internal Medicine > Professor of Epidemiology > > Board Certified in Internal Medicine, Geriatrics and Hypertension Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 2, 2004 Report Share Posted November 2, 2004 > > > Inspra or spiro will not lower aldo it blocks the effects and indee aldo may > increase. > > > Dr Grim, what are the chances that aldo increases with inspra/spiro use? Greater or less than 50%? I've been doing well on Inspra so far, but also doing as low salt as I can (500 to 1000 mg daily) - the lower I go with salt, the better I feel. Jim Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 2, 2004 Report Share Posted November 2, 2004 If any thing the level of aldo might go up but the effects are blocked by Aldo Blockers (Inspra). Remember without excess salt aldosterone does not increase BP. and lowering your salt intake will help a lot. Keep up the good work. DASH also is very high K. CE Grim, BS (Chem and Math), MS (Biochemistry), MD. Clinical Professor of Medicine and Epidemiology Board Certified in Internal Medicine, Geriatrics and Hypertension Quote Link to comment Share on other sites More sharing options...
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