Table 1.
Risk factors and potential causes of SIADH.
Age | ≥60 years old | |
Sex | Female gender | |
Nutritional status | Low Body Weight (BMI <18.5 kg/m2) | |
Baseline Na | History of hyponatremia ([Na+] <135 mEq/L) | |
Medications | CNS Active Drugs | Antipsychotics, Antidepressants, Amphetamines, Carbamazepine, Oxcarbazepine, Valproate, Opiates, Barbiturates, Nicotine, Bromocriptine |
Other Drugs | Amiodarone, Ciprofloxacin, Vincristine, Vinorelbine, Vinblastine, Cisplatin, Cyclophosphamide, Ifosfamide, Sulfonylureas, Interferons-alpha/gamma, NSAIDs, Methotrexate | |
CNS disorders | CVA, infection, TBI, hemorrhagea, MS, lupus cerebritis, epilepsy, hydrocephalus, encephalitis, meningitis | |
Malignancies | Lung (especially small cell carcinoma), gastrointestinal, head & neck, genitourinary, sarcomas, lymphomas and neuroblastomas | |
Pulmonary Disorders | Bacterial/viral infection, bronchial asthma, atelectasis, acute respiratory failure, pneumothorax, positive pressure ventilation, tuberculosis, aspergillosis, COPD, pulmonary fibrosis, sarcoidosis | |
Major surgery | Abdominal, thoracic, brain | |
Hormone administration or deficiency | Vasopressin, desmopressin, oxytocin | |
Other | AIDSa, Malaria, Rocky Mountain Fever, Hereditary SIADH, smoking |
These and other conditions may be associated with salt or volume depletion. Further discussion is beyond the scope of this article. Nephrology consultation is indicated in such conditions where hyponatremia is life threatening.