Re: water retention..questions for

[Guest guest]

,

You wrote:

>

> The diuretic I bought is Lasix (furosemide) which is Diurmessel (furosemida)

in Spanish....

>

> ... On the other hand, I think I have exercised very judicious use of the

medicines I have

>obtained. It still makes me angry that my doctor didn't think I could

be trusted not to

>misuse a diuretic. ...

Did you read about Lasix' effect on the QT-interval? Do you take any

other medications that effect the QT-interval? Do you have any cardiac

conditions or potential for hyperthyroidism that might make Lasix

dangerous? Sometimes the physician has a reason for not prescribing

something, but this should be explained, especially if the patient asks.

Chuck B.

[Guest guest]

chuck I am with you here--find out why you have this problem and I

posted it---just a few weeks ago---called adrenal problems but not

the cortisol side of it---

HYPERALDOSTERONISM:

THE FACTS YOU NEED TO KNOW

----------------------------------------------------------------------

----------

by L. Margulies, M.D., F.A.C.E., F.A.C.P.

Hyperaldosteronism is a disease caused by an excess production of the

normal adrenal hormone, aldosterone. This hormone is responsible for

sodium and potassium balance, which then directly controls water

balance to maintain appropriate blood pressure and blood volume.

People with a deficiency of aldosterone, especially found in

association with cortisol deficiency in 's disease, have low

blood volume and therefore low blood pressure, low sodium and high

potassium. Just the opposite is seen in hyperaldosteronism.

Hyperaldosteronism causes high blood pressure and a low serum

potassium. The serum sodium is usually in the normal range. This is a

rare disease and is an unusual cause of hypertension. It is usually

considered by physicians if they find an unexpectedly low potassium

in a person being treated for hypertension. It generally causes no

other specific symptoms or signs. The physical examination in people

with hyperaldosteronism is totally normal.

There are two types of hyperaldosteronism: It can occur from

hyperplasia in both adrenal glands, or from a benign (rarely

malignant) tumor of one of the adrenal glands. When the cause is a

single adrenal tumor, it is labeled Conn's Syndrome.

When hyperaldosteronism is considered by a physician, tests are done

to look for an excess of the hormone aldosterone in the blood and

urine, and also a suppressed plasma renin. Other tests, looking at

other adrenal steroid hormones, can be very useful as well as tests

looking for the normal physiologic changes in hormones in the morning

and evening, as well as responses to sodium challenge or sodium

restriction. These tests can help to differentiate the bilateral

hyperplasia from an adrenal tumor. When a tumor is suspected,

radiologic proof with a CT scan or MRI will usually help to confirm

the diagnosis.

The treatment depends on the cause. If there is a single tumor,

surgical removal of that tumor can cure the disease. The remaining

adrenal gland is usually normal and individuals with this form of the

disease will have enough adrenal hormone production from the

remaining gland to live normally. Unfortunately, quite often there is

still some residual hypertension even after the surgery, so sometimes

antihypertensive medication is still necessary. If bilateral

hyperplasia is the cause of hyperaldosteronism, this is treated with

specific medications that block the effect of aldosterone. There are

two such medications: spironalactone (Aldactone) and amiloride

(Midamor). Both of these medications are very effective, but are

sometimes used in combination with other antihypertensive medications

for the management of hypertension in individuals with

hyperaldosteronism.

10/95

>

> >

> > The diuretic I bought is Lasix (furosemide) which is Diurmessel

(furosemida) in Spanish....

> >

> > ... On the other hand, I think I have exercised very judicious

use of the medicines I have

> >obtained. It still makes me angry that my doctor didn't think I

could

> be trusted not to

> >misuse a diuretic. ...

>

> Did you read about Lasix' effect on the QT-interval? Do you take

any

> other medications that effect the QT-interval? Do you have any

cardiac

> conditions or potential for hyperthyroidism that might make Lasix

> dangerous? Sometimes the physician has a reason for not prescribing

> something, but this should be explained, especially if the patient

asks.

>

> Chuck B.

[Guest guest]

Yes, I have, and I don't have any of those medical problems. As I said before,

I did not ask specifically for Lasix, but for something to help with extreme

edema, and I was told, " We don't like to give diuretics to women because they

use them for weight loss. " That's not the kind of patient education I'm

interested in. I have used about 20 tablets in a year.

Chuck Blatchley <cblatchl@...> wrote:

,

You wrote:

>

> The diuretic I bought is Lasix (furosemide) which is Diurmessel (furosemida)

in Spanish....

>

> ... On the other hand, I think I have exercised very judicious use of the

medicines I have

>obtained. It still makes me angry that my doctor didn't think I could

be trusted not to

>misuse a diuretic. ...

Did you read about Lasix' effect on the QT-interval? Do you take any

other medications that effect the QT-interval? Do you have any cardiac

conditions or potential for hyperthyroidism that might make Lasix

dangerous? Sometimes the physician has a reason for not prescribing

something, but this should be explained, especially if the patient asks.

Chuck B.

[Guest guest]

sorry it does have something to do with cortisol but not the side of

it that we are familar with--should of said that---it's a side effect

from it

> >

> > >

> > > The diuretic I bought is Lasix (furosemide) which is Diurmessel

> (furosemida) in Spanish....

> > >

> > > ... On the other hand, I think I have exercised very judicious

> use of the medicines I have

> > >obtained. It still makes me angry that my doctor didn't think

I

> could

> > be trusted not to

> > >misuse a diuretic. ...

> >

> > Did you read about Lasix' effect on the QT-interval? Do you take

> any

> > other medications that effect the QT-interval? Do you have any

> cardiac

> > conditions or potential for hyperthyroidism that might make Lasix

> > dangerous? Sometimes the physician has a reason for not

prescribing

> > something, but this should be explained, especially if the

patient

> asks.

> >

> > Chuck B.

[Guest guest]

what are they giving you for adrenal?

> >

> > >

> > > The diuretic I bought is Lasix (furosemide) which is Diurmessel

> (furosemida) in Spanish....

> > >

> > > ... On the other hand, I think I have exercised very judicious

> use of the medicines I have

> > >obtained. It still makes me angry that my doctor didn't think

I

> could

> > be trusted not to

> > >misuse a diuretic. ...

> >

> > Did you read about Lasix' effect on the QT-interval? Do you take

> any

> > other medications that effect the QT-interval? Do you have any

> cardiac

> > conditions or potential for hyperthyroidism that might make Lasix

> > dangerous? Sometimes the physician has a reason for not

prescribing

> > something, but this should be explained, especially if the

patient

> asks.

> >

> > Chuck B.

>

>

>

>