Abstract
The effect of potassium supplements was studied in 28 patients taking long term frusemide (40-80 mg daily). Plasma potassium fell when supplements were stopped, and rose towards prior values on the potassium/frusemide combination, Diumide K. In a crossover study in 14 of these patients comparing equivalent doses of frusemide, Diumide K (frusemide 40 mg, potassium 8 mmol), bumetanide, and Burinex K (bumetanide 0.5 mg, potassium 7.7 mmol) plasma potassium was lower on frusemide than on bumetanide. On Diumide K and Burinex K plasma potassium rose significantly but did not reach the levels on prior therapy. Small doses of potassium in combined formulations seem to be effective in countering the mild hypokalaemia caused by loop diuretics.
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Selected References
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- Gabriel R., Baylor P. Comparison of the chronic effects of bendrofluazide, bumetanide and frusemide on plasma biochemical variables. Postgrad Med J. 1981 Feb;57(664):71–74. doi: 10.1136/pgmj.57.664.71. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Holland O. B., Nixon J. V., Kuhnert L. Diuretic-induced ventricular ectopic activity. Am J Med. 1981 Apr;70(4):762–768. doi: 10.1016/0002-9343(81)90530-1. [DOI] [PubMed] [Google Scholar]
- Hollifield J. W., Slaton P. E. Thiazide diuretics, hypokalemia and cardiac arrhythmias. Acta Med Scand Suppl. 1981;647:67–73. doi: 10.1111/j.0954-6820.1981.tb02640.x. [DOI] [PubMed] [Google Scholar]
- Jackson P. R., Ramsay L. E., Wakefield V. Relative potency of spironolactone, triamterene and potassium chloride in thiazide-induced hypokalaemia. Br J Clin Pharmacol. 1982 Aug;14(2):257–263. doi: 10.1111/j.1365-2125.1982.tb01970.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Krakauer R., Lauritzen M. Diuretic therapy and hypokalemia in geriatric out-patients. Dan Med Bull. 1978 Apr;25(3):126–129. [PubMed] [Google Scholar]
- Kubik M. M., Bowers E., Underwood P. N. Comparison of separate versus simultaneous administration of potassium supplement with the diuretic bumetanide. Curr Med Res Opin. 1977;5(3):273–278. doi: 10.1185/03007997709110179. [DOI] [PubMed] [Google Scholar]
- Lawson D. H., Henry D. A., Lowe J. M., Gray J. M., Morgan H. G. Severe hypokalemia in hospitalized patients. Arch Intern Med. 1979 Sep;139(9):978–980. [PubMed] [Google Scholar]
- Lewis J. G. The effect on plasma potassium of a combined preparation of frusemide and slow-release potassium chloride (Diumide-K Continus tablets). J Int Med Res. 1979;7(5):354–359. doi: 10.1177/030006057900700504. [DOI] [PubMed] [Google Scholar]
- Morgan D. B., Davidson C. Hypokalaemia and diuretics: an analysis of publications. Br Med J. 1980 Mar 29;280(6218):905–908. doi: 10.1136/bmj.280.6218.905. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Morgan D. B., Young R. M. Acute transient hypokalaemia: new interpretation of a common event. Lancet. 1982 Oct 2;2(8301):751–752. doi: 10.1016/s0140-6736(82)90930-8. [DOI] [PubMed] [Google Scholar]
- Murchison L. E., Bewsher P. D. Lack of effect of bumetanide on body potassium content in hypertension. Br J Clin Pharmacol. 1975 Feb;2(1):87–91. doi: 10.1111/j.1365-2125.1975.tb01691.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Ramsay L. E., McInnes G. T., Hettiarachchi J., Shelton J., Scott P. Bumetanide and frusemide: a comparison of dose-response curves in healthy men. Br J Clin Pharmacol. 1978 Mar;5(3):243–247. doi: 10.1111/j.1365-2125.1978.tb01631.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Schwartz A. B., Swartz C. D. Dosage of potassium chloride elixir to correct thiazide-induced hypokalemia. JAMA. 1974 Nov 4;230(5):702–704. [PubMed] [Google Scholar]
- Singh B. B., Watt D. A. Patient tolerance of long-term diuretic/potassium supplement therapy. Curr Med Res Opin. 1976;4(2):117–123. doi: 10.1185/03007997609109290. [DOI] [PubMed] [Google Scholar]
- Steiness E., Olesen K. H. Cardiac arrhythmias induced by hypokalaemia and potassium loss during maintenance digoxin therapy. Br Heart J. 1976 Feb;38(2):167–172. doi: 10.1136/hrt.38.2.167. [DOI] [PMC free article] [PubMed] [Google Scholar]
