Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Treatment For Low Sodium, Dropped BP, Tiredness And Imbalance
Question: hi my doctor told mr i had low sodium on my blood test also my blood pressure droped tp 135 when i always had high blood pressure before I feel tired and a little of balance
Brief Answer:
You should change citalopram to a safer option.
Detailed Answer:
Hello! Thank you for your question on HCM! Regarding your concern I would explain that there exist different reasons why hyponatremia occurs. Although your medical history doesn't comprise any special disorders like congestive heart failure, kidney or liver problems, any hormonal disorders or any recent fluid imbalance, loop diuretic use, etc, which could be the source of hyponatremia I read carefully your medical history and my suspicion is that hyponatremia could be explained with the use of citalopram which is an antidepressant drug that could induce inappropriate secretion of antidiuretic hormone leading to low natrium concentration. It is seen more frequently in the first weeks of treatment and especially in older women. I recommend to stop citalopram from therapy and to talk immediately with your psychiatrist for a safer drug option.
Regarding your imbalance I recommend you a visit to the neurologist to discriminate its exact cause (Is it linked with a neurological disorder? Problems with the inner ear, or any instability of your blood pressure? ) So I recommend you to monitor frequently your blood pressure, perform a cardiac check up (ECG, cardiac ultrasound, and if any problem detected consult cardiologist), and if cardiac reasons are excluded consult your neurologist.
So to conclude you need to talk to your psychiatrist first; and to discriminate the cause of your imbalance ( if hyponatremia is not seveee enough to be a reason).
Hope to have been helpful to you!
Feel free to ask me whenever you need! Greetings from Dr. Iliri
You should change citalopram to a safer option.
Detailed Answer:
Hello! Thank you for your question on HCM! Regarding your concern I would explain that there exist different reasons why hyponatremia occurs. Although your medical history doesn't comprise any special disorders like congestive heart failure, kidney or liver problems, any hormonal disorders or any recent fluid imbalance, loop diuretic use, etc, which could be the source of hyponatremia I read carefully your medical history and my suspicion is that hyponatremia could be explained with the use of citalopram which is an antidepressant drug that could induce inappropriate secretion of antidiuretic hormone leading to low natrium concentration. It is seen more frequently in the first weeks of treatment and especially in older women. I recommend to stop citalopram from therapy and to talk immediately with your psychiatrist for a safer drug option.
Regarding your imbalance I recommend you a visit to the neurologist to discriminate its exact cause (Is it linked with a neurological disorder? Problems with the inner ear, or any instability of your blood pressure? ) So I recommend you to monitor frequently your blood pressure, perform a cardiac check up (ECG, cardiac ultrasound, and if any problem detected consult cardiologist), and if cardiac reasons are excluded consult your neurologist.
So to conclude you need to talk to your psychiatrist first; and to discriminate the cause of your imbalance ( if hyponatremia is not seveee enough to be a reason).
Hope to have been helpful to you!
Feel free to ask me whenever you need! Greetings from Dr. Iliri
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
