Guest guest Posted May 23, 2006 Report Share Posted May 23, 2006 In a message dated 5/23/06 5:21:02 PM, shahall@... writes: Hi Dawn, I've never had to take K+ supplements as my level only gets too low when I'm not on spiro. The doctor at U-M told me that he likes to keep PA patients on a low dose of HCT as long as K+ levels stay ok, since we tend to be hypervolemic. I'm wondering if this wouldn't help to bring your K+ level down some. I have bilateral adenomas so surgery is not an option for me either. a Also DASH by lowering salt intake decreases K loss and it is a high K diet. Ideal for PA. May your pressure be low! CE Grim, BS(Chem/Math), MS(Biochem), MD. Board Certified in Internal Medicine, Geriatrics and Hypertension Former Epidemiologic Intelligence Services Officer (Lt. Comdr.), CDC Specializing in Difficult to Manage High Blood Pressure Clinical Professor of Medicine, Medical College of Wisconsin Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 23, 2006 Report Share Posted May 23, 2006 Hi Dawn, I've never had to take K+ supplements as my level only gets too low when I'm not on spiro. The doctor at U-M told me that he likes to keep PA patients on a low dose of HCT as long as K+ levels stay ok, since we tend to be hypervolemic. I'm wondering if this wouldn't help to bring your K+ level down some. I have bilateral adenomas so surgery is not an option for me either. a --- rkayaitch <rkayaitch@...> wrote: > I am a 37 old female living in the uk. having been > told several months > ago that i have conns syndrome and after ct scans > and adrenal vein > sampling. I was informed that there would no op as > although the tumor > is in left adrenal gland, right adrenal gland is > producing as much > aldosterone. Now having been on spiro + Bp meds > which they are still > changing all the time, i'm now told that my > potassium level is too > high {after being too low}and have been told to cut > out foods which > are high in potassium. Has anyone else in this been > told > this? > > Dawn > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 23, 2006 Report Share Posted May 23, 2006 In a message dated 5/23/06 6:56:14 PM, dave@... writes: Does this individual case suggest the small dose of HCTZ, DR. Grim? Perhaps another diuretic? Dave I would choose to use aldactazide 25/25 but that is for her and her Dr. to work out. May your pressure be low! CE Grim, BS(Chem/Math), MS(Biochem), MD. Board Certified in Internal Medicine, Geriatrics and Hypertension Former Epidemiologic Intelligence Services Officer (Lt. Comdr.), CDC Specializing in Difficult to Manage High Blood Pressure Clinical Professor of Medicine, Medical College of Wisconsin Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 23, 2006 Report Share Posted May 23, 2006 In a message dated 5/23/06 6:50:16 PM, shahall@... writes: Dawn and my problem is too much K+. On a therapeutic dose of spiro my K+ runs 4.8-4.9. A low dose of HCT pulls it down to 4.3-4.5. I did the DASH diet for 3 weeks, averaging about 1500 mg NA per day with no appreciable difference in BP, in fact a little higher at times. I've been back on my ADA diet for about 2 weeks and BP this AM was 124/71. Serum NA Friday was 137, K+ 4.5. No change in meds or other lifestyle changes during this time. a That is excellent. Being from Missouri I would have collected a 24 hr urine to measure the amount of sodium that you were getting when on the DASH just to be sure extra was not sneaking in somewhere. May your pressure be low! CE Grim, BS(Chem/Math), MS(Biochem), MD. Board Certified in Internal Medicine, Geriatrics and Hypertension Former Epidemiologic Intelligence Services Officer (Lt. Comdr.), CDC Specializing in Difficult to Manage High Blood Pressure Clinical Professor of Medicine, Medical College of Wisconsin Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 23, 2006 Report Share Posted May 23, 2006 Dawn and my problem is too much K+. On a therapeutic dose of spiro my K+ runs 4.8-4.9. A low dose of HCT pulls it down to 4.3-4.5. I did the DASH diet for 3 weeks, averaging about 1500 mg NA per day with no appreciable difference in BP, in fact a little higher at times. I've been back on my ADA diet for about 2 weeks and BP this AM was 124/71. Serum NA Friday was 137, K+ 4.5. No change in meds or other lifestyle changes during this time. a > Also DASH by lowering salt intake decreases K loss > and it is a high K diet. > Ideal for PA. > > > > May your pressure be low! > > CE Grim, BS(Chem/Math), MS(Biochem), MD. > Board Certified in Internal Medicine, Geriatrics and > Hypertension > Former Epidemiologic Intelligence Services Officer > (Lt. Comdr.), CDC > Specializing in Difficult to Manage High Blood > Pressure > Clinical Professor of Medicine, Medical College of > Wisconsin > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 23, 2006 Report Share Posted May 23, 2006 Does this individual case suggest the small dose of HCTZ, DR. Grim? Perhaps another diuretic? Dave On May 23, 2006, at 7:48 AM, a Hall wrote: > Dawn and my problem is too much K+. On a therapeutic > dose of spiro my K+ runs 4.8-4.9. A low dose of HCT > pulls it down to 4.3-4.5. I did the DASH diet for 3 > weeks, averaging about 1500 mg NA per day with no > appreciable difference in BP, in fact a little higher > at times. I've been back on my ADA diet for about 2 > weeks and BP this AM was 124/71. Serum NA Friday was > 137, K+ 4.5. No change in meds or other lifestyle > changes during this time. > > a > > > >> Also DASH by lowering salt intake decreases K loss >> and it is a high K diet. >> Ideal for PA. >> >> >> >> May your pressure be low! >> >> CE Grim, BS(Chem/Math), MS(Biochem), MD. >> Board Certified in Internal Medicine, Geriatrics and >> Hypertension >> Former Epidemiologic Intelligence Services Officer >> (Lt. Comdr.), CDC >> Specializing in Difficult to Manage High Blood >> Pressure >> Clinical Professor of Medicine, Medical College of >> Wisconsin >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 23, 2006 Report Share Posted May 23, 2006 > > > In a message dated 5/23/06 6:56:14 PM, dave@... writes: > > > > Does this individual case suggest the small dose of HCTZ, DR. Grim? > > Perhaps another diuretic? > > HTCZ ? > > Dave > > > > I would choose to use aldactazide 25/25 but that is for her and her Dr. to > work out. > aldactazide 25/25? Have not heard of this k was 1.4 now is 5.9 since being on 100 mg spiro ,only just started another diuretic i am glad to have found people to talk to thankyou ! > > > May your pressure be low! > > CE Grim, BS(Chem/Math), MS(Biochem), MD. > Board Certified in Internal Medicine, Geriatrics and Hypertension > Former Epidemiologic Intelligence Services Officer (Lt. Comdr.), CDC > Specializing in Difficult to Manage High Blood Pressure > Clinical Professor of Medicine, Medical College of Wisconsin > Quote Link to comment Share on other sites More sharing options...
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