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Can Hydrochlorothiazide Cause Low Sodium Levels In Blood?

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Posted on Mon, 21 Aug 2017
Question: I have low blood sodium after lowering my blood pressure from 140/70 to 110/60 with diet. What effect does hydrochlorothiazide have on blood sodium?
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Answered by Dr. Ilir Sharka (1 hour later)
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome and thank you for asking on HealthcareMagic!

Regarding your concern, I would explain that Hydrochlorothiazide can lower potassium levels, while Benicar helps increase them.

I would just recommend taking potassium supplements or food rich in potassium ( banana, potatoes, plums, etc.).

If low potassium levels persist, you should discuss with your doctor on stopping hydrochlorothiazide.

Hope you will find this answer helpful!

Kind regards,

Dr.Iliri


Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Follow up: Dr. Ilir Sharka (4 hours later)
Is Potassium Level the same as Sodium Level?
doctor
Answered by Dr. Ilir Sharka (11 minutes later)
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello again!

I am sorry for the misunderstanding.

Sodium is a different electrolyte, other than potassium.

Regarding Hydrochlorothiazide and sodium, I would explain that the main mechanism of action of this drug is to lower the absorption of sodium in the kidney. This may lead to low sodium levels.

But the reduction of sodium intake (which is the main component of salt), may contribute in this clinical scenario.

An excessive intake of water and low salt intake can also lead to low sodium levels.

A possible treatment option in this case would be to reduce fluids intake. This would lead to concentration of plasma and raise in sodium plasma levels.

Another option would be stopping hydrochlorothiazide. Your actual blood pressure are normal. So, you can try stopping this drug, without being afraid of any possible significant raise in your blood pressure values. This will help also raise sodium levels.

Hope to have clarified some of your uncertainties!

Wishing good health,

Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9545 Questions

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Can Hydrochlorothiazide Cause Low Sodium Levels In Blood?

Brief Answer: I would explain as follows: Detailed Answer: Hello! Welcome and thank you for asking on HealthcareMagic! Regarding your concern, I would explain that Hydrochlorothiazide can lower potassium levels, while Benicar helps increase them. I would just recommend taking potassium supplements or food rich in potassium ( banana, potatoes, plums, etc.). If low potassium levels persist, you should discuss with your doctor on stopping hydrochlorothiazide. Hope you will find this answer helpful! Kind regards, Dr.Iliri