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spiro, day 2

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Happy to report that this morning, my second day of spiro, my BP was 129/90. Not

great but considering that it was running high 160s/100s yesterday, I think I

can stop worrying that I was getting a paradoxical reaction of *increased* BP

(which happened to me on Diovan, Cardizem, etc. etc.)

The bad news is after cutting my K down from 60 MEQ/day to only 20 MEQ/day, my

left trapezius muscle spasm is back in full force already.

--msmith1928

Nulliparous female, 46, 5'3 " , 120 lbs, polymenorrhea, hyperinsulinemia,

hereditary fructose intolerance, lactose intolerance, probable gluten

intolerance. Current meds are spiro 12.5mg/dday, potassium 20MEQ/day, singulair

10mg, norethindrone .35mg to regulate polymenorrhea, cyclobenzaprine 5-10mg when

needed, fexofenadine 180mg as needed. Low sodium, fructose- and grain-free diet.

Known drug allergies include PCN, sulfa, tetracycline. 1cm left adrenal nodule,

supine aldosterone 28.5/renin 0.2, potassium <2.9 (when not taking supplements),

25mg spiro caused gynecomastia and polymenorrhea. AVS showed right adrenal

overproduces aldo; unable to sample left; proceeding as if my hyperaldosteronism

is bilateral.

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