Guest guest Posted January 28, 2012 Report Share Posted January 28, 2012 The I would DASH more. CE Grim MDOn Jan 28, 2012, at 4:19 PM, mmcandmcc wrote: I don't believe I've ever taken hctz. Dr. Grekin and I discussed diet and past success with DASH and my current frustration. Since the baby was born four weeks ago, my NA tolererce is much worse than ever. > > > > From: mmcandmcc <mmcandmcc@...> > > Subject: Dr. Grekin visit > > hyperaldosteronism > > Date: Saturday, January 28, 2012, 9:44 AM > > > > > > I had a visit with Dr. Grekin at U of Michigan and was very > > impressed! He spent nearly an hour going over my symptoms and > > history and listened intently! His knowledge was fantastic. He > > didn't want to do any testing for a few months till the post-partum > > hormones are back to normal, but added hydrochlorathiazine (sp) to > > get the fluid off. I'm still struggling with retaining fluid since > > having the baby four weeks ago. Anyway, very impressed! > > > > > > 40 yr old mom to six, diagnosed w/ PA in 2007 > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 28, 2012 Report Share Posted January 28, 2012 Both my wife and I took HTCZ for years w/o problems. Now, I am one of the 66% of PTNs w/o low K so that may be a key. Francis' question about breast feeding is very valid since Indapamide specifically says not to use it. My guess is your doctor is proceeding with caution and allowing time for your body to get back to its non-pregnant shape before becoming too agressive but ask him! - 65 yo super ob., fastidious male - 12mm X 13mm rt. a.adnoma with previous rt. flank pain. Treating with DASH. Stats w/o meds = BP 175/90 HR 59 BS 125. D/C Spironolactone 12/20/2011 due to adverse SX. Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, Gynecomastia, MDD and PTSD. Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, AmlodipineBesylate 10mg, 81mg aspirin and Metformin 2000MG. Started washing Spironolactone 12/20/11 to prepare for AVS. > > > > > > From: mmcandmcc <mmcandmcc@> > > > Subject: Dr. Grekin visit > > > hyperaldosteronism > > > Date: Saturday, January 28, 2012, 9:44 AM > > > > > > > > > I had a visit with Dr. Grekin at U of Michigan and was very > > > impressed! He spent nearly an hour going over my symptoms and > > > history and listened intently! His knowledge was fantastic. He > > > didn't want to do any testing for a few months till the post-partum > > > hormones are back to normal, but added hydrochlorathiazine (sp) to > > > get the fluid off. I'm still struggling with retaining fluid since > > > having the baby four weeks ago. Anyway, very impressed! > > > > > > > > > 40 yr old mom to six, diagnosed w/ PA in 2007 > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 28, 2012 Report Share Posted January 28, 2012 No, some are potassium sparing. They don't always "spare" it such as with HCTZ, but that's the idea behind them. They work on different aspects of the urine creation and filtration process Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 29, 2012 Report Share Posted January 29, 2012 Most do not get low K some most recommend increaseing diet k rather than giving K aka DASHMay your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertensionOn Jan 28, 2012, at 22:48, Bingham <jlkbbk2003@...> wrote: No, some are potassium sparing. They don't always "spare" it such as with HCTZ, but that's the idea behind them. They work on different aspects of the urine creation and filtration process Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 29, 2012 Report Share Posted January 29, 2012 This is because your progesterone has falling 1000 fold or so after delivery. No more aldo blocker from it.Keep an eye on the BP and I would check K in a week or 2 after HCTZ and would only start 1/2 dose but talk to your team.If given only for the swelling the best thing to do is to lower your sodium intake so you don't swell. That may not be easy tho. Have your team check your urine Na/K at teach visit.You want this ratio to be less than one. CE Grim MDOn Jan 28, 2012, at 8:47 PM, wrote:> I don't believe I've ever taken hctz. Dr. Grekin and I discussed diet and past success with DASH and my current frustration. Since the baby was born four weeks ago, my NA tolererce is much worse than ever. Quote Link to comment Share on other sites More sharing options...
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