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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Medication For High Blood Pressure

I have high blood pressure and diabetes both controlled. Dr wants me on spironolactone and losartan. {potassium 1 point over top level. I also have calcium 10.1. Am 64 yrs old. have kidney reading of 38. Very concerned about my meds. What else can I be on that doesn t interact with all this. Dr. just won t work with me. Was on diazyde worded great, but she changed to spiro. don t like it.
Mon, 3 Nov 2014
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Internal Medicine Specialist,  's  Response
Hello welcome to HCM.
I have read your question and understand your concerns.

Actually sprinolactone and losartan both can increase potassium levels. If your potassium level is already high than its a bad combination.

The diazyde also contains medicine which can increase potassium but it has also other drug in addition hydrochlorothiazide which will control potassium.

My advice to you is you should not take spironolactone or diazyde with losartan. Ideal medication for you is chlorthalidone which can be added to losartan or Plain hydrochlorothiazide.

Ask your doctor regarding this and then repeat your potassium levels.
Thank you.
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Suggest Medication For High Blood Pressure

Hello welcome to HCM. I have read your question and understand your concerns. Actually sprinolactone and losartan both can increase potassium levels. If your potassium level is already high than its a bad combination. The diazyde also contains medicine which can increase potassium but it has also other drug in addition hydrochlorothiazide which will control potassium. My advice to you is you should not take spironolactone or diazyde with losartan. Ideal medication for you is chlorthalidone which can be added to losartan or Plain hydrochlorothiazide. Ask your doctor regarding this and then repeat your potassium levels. Thank you.