Abstract
The use of amiloride is described in twenty-four hypertensive patients who became hypokalaemic as a result of thiazide diuretic therapy in spite of oral potassium supplments. Amiloride caused a significant rise in exchangeable potassium, exchangeable potassium/kg body weight, and plasma potassium, together with a significant fall in plasma total carbon dioxide, body weight, systolic and diastolic blood pressures. These results suggest that amiloride has a useful role in this type of patient.
Full text
PDF




Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Anderson J., Godfrey B. E., Hill D. M., Munro-Faure A. D., Sheldon J. A comparison of the effects of hydrochlorothiazide and of frusemide in the treatment of hypertensive patients. Q J Med. 1971 Oct;40(160):541–560. [PubMed] [Google Scholar]
- Antcliff A. C., Beevers D. G., Hamilton M., Harpur J. E. The use of amiloride hydrochloride in the correction of hypokalaemic alkalosis induced by diuretics. Postgrad Med J. 1971 Oct;47(552):644–647. doi: 10.1136/pgmj.47.552.644. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Antcliff A. C., Hamilton M., Beevers D. G., Harpur J. E. Amiloride hydrochloride combined with hydrochlorothiazide in the control of hypertension and plasma potassium levels. Br J Clin Pract. 1972 Sep;26(9):413–416. [PubMed] [Google Scholar]
- Beevers D. G., Hamilton M., Harpur J. E. The long-term treatment of hypertension with thiazide diuretics. Postgrad Med J. 1971 Oct;47(552):639–643. doi: 10.1136/pgmj.47.552.639. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Bull M. B., Laragh J. H. Amiloride. A potassium-sparing natriuretic agent. Circulation. 1968 Jan;37(1):45–53. doi: 10.1161/01.cir.37.1.45. [DOI] [PubMed] [Google Scholar]
- GIFFORD R. W., Jr, MATTOX V. R., ORVIS A. L., SONES D. A., ROSEVEAR J. W. Effect of thiazide diuretics on plasma volume, body electrolytes, and excretion of aldosterone in hypertension. Circulation. 1961 Nov;24:1197–1205. doi: 10.1161/01.cir.24.5.1197. [DOI] [PubMed] [Google Scholar]
- Graybiel A. L., Sode J. Diuretics, potassium depletion, and carbohydrate intolerance. Lancet. 1971 Jul 31;2(7718):265–265. doi: 10.1016/s0140-6736(71)92604-3. [DOI] [PubMed] [Google Scholar]
- Healy J. J., McKenna T. J., Canning B. S., Brien T. G., Duffy G. J., Muldowney F. P. Body composition changes in hypertensive subjects on long-term oral diuretic therapy. Br Med J. 1970 Mar 21;1(5698):716–719. doi: 10.1136/bmj.1.5698.716. [DOI] [PMC free article] [PubMed] [Google Scholar]
- McKenna T. J., Donohoe J. F., Brien T. G., Healy J. J., Canning B. S., Muldowney F. P. Potassium-sparing agents during diuretic therapy in hypertension. Br Med J. 1971 Jun 26;2(5764):739–741. doi: 10.1136/bmj.2.5764.739. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Surveyor I., Saunders R. A. Amiloride and plasma-potassium. Lancet. 1968 Aug 31;2(7566):516–517. doi: 10.1016/s0140-6736(68)90679-x. [DOI] [PubMed] [Google Scholar]
- Wilkinson P. R., Issler H., Hesp R., Raftery E. B. Total body and serum potassium during prolonged thiazide therapy for essential hypertension. Lancet. 1975 Apr 5;1(7910):759–762. doi: 10.1016/s0140-6736(75)92432-0. [DOI] [PubMed] [Google Scholar]
