Does chlorthalidone deplete your potassium?
The report in JAMA Internal Medicine details how patients prescribed chlorthalidone had nearly three times the risk of developing dangerously low levels of potassium and a greater risk of other electrolyte imbalances and kidney problems, as opposed to those taking hydrochlorothiazide.
Do you need potassium with chlorthalidone?
If you take a low dose of chlorthalidone or hydrochlorothiazide and have normal kidney function, your doctor will probably recommend getting potassium from dietary sources. You can boost your potassium intake from the same foods that are heart healthy – vegetables, fruits and fish.
What type of diuretic is chlorthalidone?
Chlorthalidone is a thiazide-like diuretic (water pill) that makes you urinate more. It works in the kidneys to remove extra water and certain electrolytes, while lowering blood pressure and getting rid of swelling.
Which diuretic can cause the depletion of potassium?
Thiazide diuretics tend to deplete potassium in a dose-dependent fashion. It has been suggested that this adverse effect may increase the risk of sudden cardiac death and limit the benefit of high-dose diuretic treatment on coronary events.
How much does chlorthalidone lower potassium?
In studies of 12 to 52 weeks’ duration, the use of chlorthalidone resulted in statistically greater reductions in serum potassium levels (−0.40 mEq per L [−0.40 mmol per L] vs. −0.24 mEq per L [−0.24 mmol per L]; P = . 008).
What are the worst side effects from chlorthalidone?
Serious side effects and their symptoms can include the following:
- sore throat and fever.
- unusual bleeding or bruising.
- severe skin rash with peeling skin.
- trouble breathing or swallowing.
- reduced potassium levels, with symptoms such as: extreme thirst. tiredness. drowsiness. restlessness. muscle pains or cramps.
Which is safer chlorthalidone or hydrochlorothiazide?
HCTZ and chlorthalidone are both safe and cheap first-line blood pressure medications, but the evidence is clear—chlorthalidone is better.
Which blood pressure Meds deplete potassium?
Yes, some diuretics — also called water pills — decrease potassium in the blood. Diuretics are commonly used to treat high blood pressure (hypertension). They lower blood pressure by helping the body eliminate sodium and water through the urine.
Which diuretic is preferred for patients with hypokalemia?
Potassium-sparing diuretics are generally used only in patients with normal renal function who are prone to significant hypokalemia. Some evidence indicates that spironolactone is particularly useful in patients with cirrhosis and in those with heart failure.
Is 25 mg of chlorthalidone a lot?
Typical starting dosage: 25 mg taken once per day. Dosage increases: Your doctor may increase your once-daily dose to 50 mg and then to 100 mg if additional control is required. Maintenance dosage: Maintenance doses may be lower than initial doses.
Who should not take chlorthalidone?
You should not use chlorthalidone if you are allergic to it, or if: you are unable to urinate; or. you are allergic to sulfa drugs.
…
Tell your doctor if you have ever had:
- kidney disease;
- heart failure;
- gout;
- high cholesterol or triglycerides;
- diabetes; or.
- if you are on a low-salt diet.
What are the side effects of chlorthalidone?
Chlorthalidone side effects
- nausea.
- vomiting.
- stomach cramping.
- diarrhea.
- constipation.
- loss of appetite.
- dizziness.
- headache.
What are signs of low potassium?
Symptoms
- Constipation.
- Feeling of skipped heart beats or palpitations.
- Fatigue.
- Muscle damage.
- Muscle weakness or spasms.
- Tingling or numbness.
Why is chlorthalidone preferred?
Chlorthalidone is the preferred diuretic of the American College of Cardiology because of its long duration of action (48-72 hours) and proven ability to reduce heart disease risk.
What can I take instead of chlorthalidone?
The main diuretic used today is hydrochlorothiazide, or HCTZ, which has fewer side effects than chlorthalidone, the diuretic used in this study.
Should you drink more water when taking chlorthalidone?
Decreasing extra salt and water in the body helps to decrease swelling (edema) and breathing problems caused by fluid in the lungs. Chlorthalidone is a “water pill” (diuretic). It increases the amount of urine you make, especially when you first start the medication.
Does vitamin D affect potassium levels?
Vitamin D3 tended to increase retention of both potassium and sodium in the body.
What drink is high in potassium?
Drinking fruit and vegetable juices is another easy way to increase your potassium intake. Citrus juices seem to provide the most potassium ( 3 ). For example, 1 cup (240 mL) of 100% orange juice offers about 10% of the DV for potassium, while the same serving of grapefruit juice provides 9% of the DV ( 30 , 31 ).
What is the safest diuretic for hypertension?
TUESDAY, Feb. 18, 2020 (HealthDay News) — Patients taking a common diuretic to help lower blood pressure may be better off with a similarly effective but safer one, a new study suggests. Current guidelines recommend the drug chlorthalidone (Thalitone) as the first-line diuretic.
What is the best time of the day to take chlorthalidone?
How should this medicine be used? Chlorthalidone comes as a tablet to take by mouth. It usually is taken once a day or every other day after a meal, preferably breakfast. It is best to take this medicine in the morning to avoid going to the bathroom during the night.
Does B12 increase potassium?
In the early stage of treatment, careful attention to blood potassium levels is necessary in severe cases, as the B12 pushes potassium into the blood cells, making the blood level very low.
Can I take 5000 IU of vitamin D3 everyday?
In summary, long-term supplementation with vitamin D3 in doses ranging from 5000 to 50,000 IUs/day appears to be safe.
Why is my potassium dropping?
Vomiting, diarrhea or both also can result in excessive potassium loss from the digestive tract. Occasionally, low potassium is caused by not getting enough potassium in your diet. Causes of potassium loss include: Alcohol use (excessive)
Is eggs high in potassium?
One large egg contains about 63 mg of potassium. 1 Eggs are considered a low-potassium food, but check with your doctor or dietitian to find out how often you should eat them.