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Metoclopramide & Aldosterone

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Dr. Grim,

My Pain Mngmt Doc recently prescribed metoclopramide for nausea & pain

(migraines/headaches), and I have a concern because of info I have

come across online about metoclopramide increasing alsdosterone

production. When I asked him about it, and showed him an article I had

read from the JCEM

http://jcem.endojournals.org/cgi/content/abstract/52/5/1014, he said

it would be ok. Because I am currently off my inspra for a 5 week

period in order to take a final 'difinitive' test for PA and don't

want to do anything to mess it up...like take this drug. What do you

think? I have been dealing with this daily nausea now for 3 months and

can certainly continue to do so if need me for a few more weeks...

Kim in MN

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In a message dated 9/27/06 11:43:48 AM, cornerstone@... writes:

Dr. Grim,

My Pain Mngmt Doc recently prescribed metoclopramide for nausea & pain

(migraines/headache (migraines/headache<wbr>s), and I have a conce

come across online about metoclopramide increasing alsdosterone

production. When I asked him about it, and showed him an article I had

read from the JCEM

http://jcem.http://jcem.http://jcem.<wbrhttp://jchttp://jce he said

it would be ok. Because I am currently off my inspra for a 5 week

period in order to take a final 'difinitive' test for PA and don't

want to do anything to mess it up...like take this drug. What do you

think? I have been dealing with this daily nausea now for 3 months and

can certainly continue to do so if need me for a few more weeks...

Kim in MN

It should not be a problem but would like to know what they think is causing all the nausea. If you throw up you may be losing K this way as well.

May your pressure be low!

C.E. Grim, B.S., M.S., M.D.

Specializing in Difficult to Control High Blood Pressure

and the Physiology and History of Survival During

Hard Times and Heart Disease today.

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>

> > Dr. Grim,

> > My Pain Mngmt Doc recently prescribed metoclopramide for nausea &

pain...

> > Kim in MN

> >

> >

>

> It should not be a problem but would like to know what they think is

causing

> all the nausea. If you throw up you may be losing K this way as well.

>

>

>

> May your pressure be low!

>

> C.E. Grim, B.S., M.S., M.D.

> Specializing in Difficult to Control High Blood Pressure

> and the Physiology and History of Survival During

> Hard Times and Heart Disease today.

>

Dr. Grim,

thanks for the reply. They don't seem to have a clue re/the nausea,

other than possibly because of medication or because of the a

esophageal (sorry -sp?) ulcer they just found. They will be starting

me on something, not sure what (acid reducer, etc.), waiting for doc

to call, so haven't bothered with metoclopramide. The nausea is not

really that bad (no vomiting), I just usually eat some saltines

(unsalted) and that settles it down. I'd rather do that then take more

Rx's.

Unfortunately, I am afraid it is my Potassium chloride pills that

caused this darn ulcer. I always followed the instructions to a 'T'

(drinking a huge glass of water and no laying down for at least 30

minutes). Does the Klor-Con come in a different format other than a

pill? I'll probably be able to get by withhout taking any for awhile,

but I bet it won't be too long before I'll need them again...

Kim in MN

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In a message dated 9/28/06 7:05:53 PM, cornerstone@... writes:

Unfortunately, I am afraid it is my Potassium chloride pills that

caused this darn ulcer. I always followed the instructions to a 'T'

(drinking a huge glass of water and no laying down for at least 30

minutes). Does the Klor-Con come in a different format other than a

pill? I'll probably be able to get by withhout taking any for awhile,

but I bet it won't be too long before I'll need them again...

Kim in MN

Good reason to use low sodum V-8-you get 20 mM K in small can-no ulcers and it tastes better. It is even not a bad bloody mix.

May your pressure be low!

C.E. Grim, B.S., M.S., M.D.

Specializing in Difficult to Control High Blood Pressure

and the Physiology and History of Survival During

Hard Times and Heart Disease today.

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>

>

> In a message dated 9/28/06 7:05:53 PM, cornerstone@... writes:

>

>

> > Unfortunately, I am afraid it is my Potassium chloride pills that

> > caused this darn ulcer. ...

> >

>

> Good reason to use low sodum V-8-you get 20 mM K in small can-no

ulcers and

> it tastes better. It is even not a bad bloody mix.

>

>

>

> May your pressure be low!

>

> C.E. Grim, B.S., M.S., M.D.

> Specializing in Difficult to Control High Blood Pressure

> and the Physiology and History of Survival During

> Hard Times and Heart Disease today.

>

Thanks for the tip Dr. Grim!!

Kim

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I think it is the best tasting of all the commercially sold tomato

juices - more naturally sweet. I will say that once I got on

sprionolactone and lowered my dietary sodium intake, my potassium shot

back up to normal and has stayed there. No need to supplement. That's

just my own experience, however.

Dave

On Sep 29, 2006, at 2:41 AM, lowerbp2@... wrote:

>

> In a message dated 9/28/06 7:05:53 PM, cornerstone@... writes:

>

>

> Unfortunately, I am afraid it is my Potassium chloride pills that

> caused this darn ulcer. I always followed the instructions to a 'T'

> (drinking a huge glass of water and no laying down for at least 30

> minutes). Does the Klor-Con come in a different format other than a

> pill? I'll probably be able to get by withhout taking any for awhile,

> but I bet it won't be too long before I'll need them again...

> Kim in MN

>

>

> Good reason to use low sodum V-8-you get 20 mM K in small can-no

> ulcers and it tastes better.  It is even not a bad bloody mix.

>

>

>

> May your pressure be low!

>

> C.E. Grim, B.S., M.S., M.D.

> Specializing in Difficult to Control High Blood Pressure

> and the Physiology and History of Survival During

> Hard Times and Heart Disease today.

> _

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