Guest guest Posted October 6, 2011 Report Share Posted October 6, 2011 You have PA most likely. In general ARBs do not work well in PA. Stump: Guess you have not yet read my Evolution of PA article. If you have you should read it again now that your are getting up to speed.CE Grim MD Need to know what you are taking for Meds. Some will change results for tests done for PA. > > > > > > > > > Still waiting on results from aldo and renin. Dr. office called and > > > > > said basic metabolic panel came back and everything was normal. > > > > > (potassium was at 3.5) My question is, would there be anything out > > > > > of the normal range on metabolic panel with pa? I am very anxious to > > > > > hear results, and am wondering if this is an indicator? > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 6, 2011 Report Share Posted October 6, 2011 Was talking about the BP effects or ARBs when renin is very low.CE Grim MDOn Oct 6, 2011, at 10:09 AM, Francis Bill SUSPECTED PA wrote: Looks like there is very little potassium losartan potassium 25 mg, 50 mg and 100 mg tablets contain potassium in the following amounts: 2.12 mg (0.054 mEq), 4.24 mg (0.108 mEq) and 8.48 mg (0.216 mEq), respectively. > > > > > > > > > > > > > Still waiting on results from aldo and renin. Dr. office > > called and > > > > > > > said basic metabolic panel came back and everything was > > normal. > > > > > > > (potassium was at 3.5) My question is, would there be > > anything out > > > > > > > of the normal range on metabolic panel with pa? I am very > > anxious to > > > > > > > hear results, and am wondering if this is an indicator? > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 6, 2011 Report Share Posted October 6, 2011 I have read the article although Im having difficulty understanding some of the technical terms. I read the section on why bp meds have a difficult time controlling PA bp. I did not know that hctz was an ARB,HCTZ is a diuretic. And a good way to Dx PA as it makes the K go low esp if you are on a high salt diet.Suspect rapid heart rate may have been related to low K. HCTZ, It will affect the renin and aldos results. We used to use it to increase renin to screen for PA.Whatever you are on you need to have them collect a 24 hr urine for Na, K and creatinine. With out this one cannot interpret the results. Apresoline may increase renin and aldo as it increases blood flow to the liver where they are cleared.So you see the reason we always stopped everything for at least 2 weeks before testing. Rarely did we find that BP got worse. Indeed sometimes it got better.CE Grim MD maybe that explains why I felt worse while taking it. Currently I am on Hydralizine.(switched from Losartan 3 weeks before test) I was also on HCTZ 12.5mg but it was discontinued about 2 weeks before test due to rapid heart rate.(cardiologist seemed to think i was dehydrated) From what i understand Hydralizine should not affect the results. I thought HCTZ did, but my dr. argued that it does not. > > > > > > > > > > > > > > > Still waiting on results from aldo and renin. Dr. office > > > called and > > > > > > > > said basic metabolic panel came back and everything was > > > normal. > > > > > > > > (potassium was at 3.5) My question is, would there be > > > anything out > > > > > > > > of the normal range on metabolic panel with pa? I am very > > > anxious to > > > > > > > > hear results, and am wondering if this is an indicator? > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
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