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I have had chronically high potassium levels requiring me to take Kayexalate on more than one occasion to lower it. This is in spite of my dietary efforts to stick with low potassium foods. I started researching various drugs that I am on and found some research that Losartan (one of the 3 blood pressure medicine's I'm on) is shown to increase potassium levels.
I mentioned this to my nephrologist at my monthly PD clinic and he seemed to just dismiss it. However, I had an opportunity to meet with a new nephrologist/partner at clinic this month and discussed the high potassium issue with him. He reviewed my medications and suggested replacing the Lorsartan with Norvask to see if that might solve this problem.
I was told that PD patients rarely have problems with high potassium, but over the past few years, mine tends to run on the high side. I realize part of this is less residual renal function/urine output, so there is more demand placed on my diet. However, I believe the Losartan could very well be adding to the problem. I was wondering if anyone else has any experience or feedback with this.
Also, my Phosphorus runs high. I have tried just about every binder on the market. I take Fosrenol with Phoslo. (I was currently taken off Renvela and placed back on to Phoslo) to see if that might help. Over the years, I've tried various combinations, some would be very constipating, or would cause nausea. I've tried experimenting with "when" I take my binders (before meal, with meals, after meals)....but still my phosphorus runs high (Currently 7.4). I have not always been 100% compliant 100% of the time with my diet, but I do make a tremendous effort. Part of the motivation for that is physical side effects such as bone/joint pain and stiffness...itching, etc...I want to live the best quality of life I can, given my circumstances and am trying to take the necessary steps to improve these areas.
Any suggestions, comments would be appreciated~
Thank you!
Mari Gossett
I mentioned this to my nephrologist at my monthly PD clinic and he seemed to just dismiss it. However, I had an opportunity to meet with a new nephrologist/partner at clinic this month and discussed the high potassium issue with him. He reviewed my medications and suggested replacing the Lorsartan with Norvask to see if that might solve this problem.
I was told that PD patients rarely have problems with high potassium, but over the past few years, mine tends to run on the high side. I realize part of this is less residual renal function/urine output, so there is more demand placed on my diet. However, I believe the Losartan could very well be adding to the problem. I was wondering if anyone else has any experience or feedback with this.
Also, my Phosphorus runs high. I have tried just about every binder on the market. I take Fosrenol with Phoslo. (I was currently taken off Renvela and placed back on to Phoslo) to see if that might help. Over the years, I've tried various combinations, some would be very constipating, or would cause nausea. I've tried experimenting with "when" I take my binders (before meal, with meals, after meals)....but still my phosphorus runs high (Currently 7.4). I have not always been 100% compliant 100% of the time with my diet, but I do make a tremendous effort. Part of the motivation for that is physical side effects such as bone/joint pain and stiffness...itching, etc...I want to live the best quality of life I can, given my circumstances and am trying to take the necessary steps to improve these areas.
Any suggestions, comments would be appreciated~
Thank you!
Mari Gossett
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